Individual
DR. ELEANOR M MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 BALFOUR DR, BLOOMFIELD HILLS, MI 48304-2100
(248) 258-5839
(248) 258-5839
Mailing address
60 BALFOUR DR, BLOOMFIELD HILLS, MI 48304-2100
(248) 258-5839
(248) 258-5839
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
4301043102
MI
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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