Organization
GEROPSYCH GROUP LLC
Active
Organization
GEROPSYCH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL DUMLAO MD (OWNER)
(248) 593-1717
Entity
Organization
Contact information
Practice address
32270 TELEGRAPH RD STE 240, BINGHAM FARMS, MI 48025-2457
(248) 593-1717
(248) 593-1711
Mailing address
32270 TELEGRAPH RD STE 240, BINGHAM FARMS, MI 48025-2457
(248) 593-1717
(248) 593-1711
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MD047459
MI
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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