Individual
DR. ALISHA RENEE THIBAULT-HLADKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, GRAND RAPIDS, MI 49548
(616) 456-0842
(616) 559-5864
Mailing address
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, GRAND RAPIDS, MI 49548
(616) 456-0842
(616) 559-5864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301111913
MI
2084P0800X
Psychiatry Physician
Primary
4301503863
MI
2084P0800X
Psychiatry Physician
4351032045
MI
Other
Enumeration date
06/06/2017
Last updated
11/30/2022
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