Organization
GERIATRIC PSYCHIATRIC SERVICES PLLC
Active
Parent organization
GERIATRIC PSYCHIATRIC SERVICES PLLC
Other names
Geriatric Psychiatric Services IN MD Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
GERIATRIC PSYCHIATRIC SERVICES PLLC
Authorized official
ROBERT CLEMENTE (MANAGER)
(248) 619-9771
Entity
Organization
Contact information
Practice address
363 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-5220
(248) 597-4515
(248) 597-4533
Mailing address
30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
(248) 583-8922
(248) 583-8969
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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