Organization
SPECIALISTS IN PSYCHIATRIC PHARMACOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLEE A EMERSON D.O. (PHYSICIAN/PARTNER)
(248) 723-3222
Entity
Organization
Contact information
Practice address
1000 S OLD WOODWARD AVE, SUITE 101, BIRMINGHAM, MI 48009-6723
(248) 723-3222
(248) 723-3226
Mailing address
1000 S OLD WOODWARD AVE, SUITE 101, BIRMINGHAM, MI 48009-6723
(248) 723-3222
(248) 723-3226
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260F301540
BCBS GROUP ID
MI
01
—
2658205874
BLUE CROSS BLUE SHIELD ID
MI
01
—
2658212294
BLUE CROSS BLUE SHIELD ID
MI
Enumeration date
01/29/2008
Last updated
09/23/2008
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