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Organization

CORE PSYCH EAST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHADY SHEBAK MD (PSYCHIATRIST)
(586) 961-6420
Entity
Organization

Contact information

Practice address
28 1ST ST, MOUNT CLEMENS, MI 48043-2523
(586) 961-6420
(586) 204-0211
Mailing address
3815 PELHAM ST STE 13, DEARBORN, MI 48124-3852
(586) 961-6420
(586) 204-0211

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
05/02/2024
Last updated
05/02/2024
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