Individual
MR. PATRICK ADAM STREET
Active
Individual
MR. PATRICK ADAM STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301513997
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301513997
MI MEDICAL LICENSE
MI
01
—
5315255630
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
04/20/2022
Last updated
03/14/2025
Update your record
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