Individual
MR. GERALD E POIRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LLP
Contact information
Practice address
11022 SUNBURST AVE, WARREN, MI 48089-1040
(586) 758-1084
Mailing address
11022 SUNBURST AVE, WARREN, MI 48089-1040
(586) 758-1084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006364
MI
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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