Individual
DR. MIRIAM LUCAS MEDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26789 WOODWARD AVE STE 110, HUNTINGTON WOODS, MI 48070-1334
(248) 546-8862
(248) 546-8862
Mailing address
26789 WOODWARD AVE STE 110, HUNTINGTON WOODS, MI 48070-1334
(248) 546-8862
(248) 546-8862
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301036747
MI
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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