Organization
MIDWEST PSYCHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAILORD CHARLES WEEKS PH.D. (PRESIDENT)
(231) 924-5309
Entity
Organization
Contact information
Practice address
905 S STEWART AVE, FREMONT, MI 49412-9201
(231) 924-5309
(231) 924-1685
Mailing address
905 S STEWART AVE, FREMONT, MI 49412-9201
(231) 924-5309
(231) 924-1685
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301003219
MI
Other
Enumeration date
02/14/2007
Last updated
09/21/2009
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