Organization
JOHN H. TRASK, PH.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H. TRASK PH.D. (PRESIDENT)
(248) 689-4600
Entity
Organization
Contact information
Practice address
650 E BIG BEAVER RD, SUITE A, TROY, MI 48083-1432
(248) 689-4600
(248) 689-4600
Mailing address
650 E BIG BEAVER RD, SUITE A, TROY, MI 48083-1432
(248) 689-4600
(248) 689-4600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301007751
MI
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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