Individual
FEDOR OPOCHINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 NORTH AVE, MOUNT CLEMENS, MI 48043-1716
(586) 466-9939
(586) 466-9956
Mailing address
PO BOX 7987, BLOOMFIELD HILLS, MI 48302-7987
(586) 466-9939
(586) 466-9956
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301063169
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03484552-10
—
MI
01
—
2605018311
BCBSM
—
01
—
FO063169
LICENSE
MI
Enumeration date
05/16/2006
Last updated
03/17/2009
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