Organization
COMPREHENSIVE GERIATRIC SERVICES INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN J KOLODCHIN (OWNER)
(586) 755-4433
Entity
Organization
Contact information
Practice address
26811 RYAN RD, WARREN, MI 48091-4075
(586) 755-4433
(586) 755-6655
Mailing address
26811 RYAN RD, WARREN, MI 48091-4075
(586) 755-4433
(586) 755-6655
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2006
Last updated
09/10/2007
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