Organization
MICHAEL CZARNOTA, PH.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CZARNOTA PH.D. (CONSULTING NEUROPSYCHOLOGIST)
(248) 253-8208
Entity
Organization
Contact information
Practice address
30055 NORTHWESTERN HWY STE 30, FARMINGTON HILLS, MI 48334-3230
(248) 253-8208
Mailing address
PO BOX 156, NORTHVILLE, MI 48167-0156
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301009072
MI
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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