Organization
NATHAN CLAUNCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN CLAUNCH PHD LLC (COE)
(734) 663-9050
Entity
Organization
Contact information
Practice address
2225 PACKARD ST, SUITE 1, ANN ARBOR, MI 48104-6320
(734) 663-9050
Mailing address
2225 PACKARD ST, SUITE 1, ANN ARBOR, MI 48104-6320
(734) 663-9050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NC148530
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680H148530
BLUE CROSS
MI
Enumeration date
05/05/2009
Last updated
05/05/2009
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