Individual
DR. MICHAEL JAMES MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
(313) 871-3751
Mailing address
1742 N HUMBOLDT BLVD APT 307, CHICAGO, IL 60647-5164
(312) 401-4238
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4351053344
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2024
Last updated
07/11/2024
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