Organization
BOMINDDY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER V LOGAN (BILLING MANAGER)
(734) 844-3155
Entity
Organization
Contact information
Practice address
32744 FIVE MILE RD, LIVONIA, MI 48154-3046
(800) 930-0943
(800) 970-7118
Mailing address
32744 FIVE MILE RD, LIVONIA, MI 48154-3046
(800) 930-0943
(800) 970-7118
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301076021
MI
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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