Organization
PAXIAM, LLC
Active
Other names
Paxiam
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL SAM POLIZZI (GENERAL PARTNER)
(248) 321-8589
Entity
Organization
Contact information
Practice address
5600 W. MAPLE, SUITE B-206, WEST BLOOMFIELD, MI 48322
(248) 626-3333
Mailing address
3673 HAVENS LANE, AUBURN HILLS, MI 48326
(248) 321-8589
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704194515
MI
Other
Enumeration date
09/07/2012
Last updated
09/21/2012
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