Individual
DR. PHILLIP DANIEL GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5838 METRO WAY SW, WYOMING, MI 49519-9619
(616) 249-5300
Mailing address
5838 METRO WAY SW, WYOMING, MI 49519-9619
(616) 249-5300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101256686
VA
2084P0800X
Psychiatry Physician
Primary
4301503815
MI
Other
Enumeration date
03/25/2014
Last updated
04/22/2026
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