Organization
DAVID R DRASNIN, PH.D. P.C.
Active
Organization
DAVID R DRASNIN, PH.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R DRASNIN PH.D. (PRESIDENT)
(248) 745-0005
Entity
Organization
Contact information
Practice address
43996 WOODWARD AVE, SUITE 100, BLOOMFIELD HILLS, MI 48302-5027
(248) 745-0005
(248) 745-0006
Mailing address
PO BOX 44047, DETROIT, MI 48244-0047
(248) 745-0005
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301008023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F33140
BCBSM
MI
Enumeration date
02/21/2007
Last updated
08/22/2020
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