Organization
BIRMINGHAM MAPLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PERRI HOPE ROSEN (OFFICE MANAGER)
(248) 646-6659
Entity
Organization
Contact information
Practice address
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
(248) 646-6659
(248) 642-8645
Mailing address
2075 BIG BEAVER RD, SUITE 520, TROY, MI 48084
(248) 646-6659
(248) 642-8645
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
07/16/2015
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