Organization
MICHIGAN PSYCHIATRIC & PRIMARY CARE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAM N DOAN NP (MANAGER)
(517) 332-5342
Entity
Organization
Contact information
Practice address
702 W LAKE LANSING RD, EAST LANSING, MI 48823-8526
(517) 332-5342
Mailing address
702 W LAKE LANSING RD, EAST LANSING, MI 48823-8526
(517) 332-5342
(517) 316-2893
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/27/2019
Last updated
01/03/2024
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