Organization
T W PARK MD PC
Active
Organization
T W PARK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN SWARTOUT (BILLING MANAGER)
(734) 241-3891
Entity
Organization
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5696
Mailing address
5623 E DUNBAR RD, MONROE, MI 48161-9127
(734) 241-3891
(734) 241-0014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301035528
MI
Other
Enumeration date
10/12/2007
Last updated
05/22/2008
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