Organization
PSYCHIATRIC CONSULTING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMAEL HAQUE DO (OWNER)
(734) 637-9239
Entity
Organization
Contact information
Practice address
40476 GLEN EAGLE LN, CANTON, MI 48188-2252
(734) 637-9239
Mailing address
40476 GLEN EAGLE LN, CANTON, MI 48188-2252
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101015840
MI
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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