Organization
CES CONSULTATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMAN EUGENE STARK PH.D. (PRESIDENT)
(269) 491-0030
Entity
Organization
Contact information
Practice address
7320 GARDEN LN, SUITE 110, PORTAGE, MI 49002-4423
(269) 491-0030
Mailing address
601 32ND ST, ALLEGAN, MI 49010-9150
(269) 491-0030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301008147
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C94586
BCBS
MI
Enumeration date
10/02/2006
Last updated
08/22/2020
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