Individual
DAVID H WAXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
20300 CIVIC CENTER DR, STE 303 NORTHLAND CLINIC, SOUTHFIELD, MI 48076
(248) 559-8190
(248) 559-8776
Mailing address
PO BOX 210550, AUBURN HILLS, MI 48321-0550
(800) 693-1916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4101006301
MI
103T00000X
Psychologist
Primary
6361004793
MI
Other
Enumeration date
04/24/2007
Last updated
08/06/2022
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