Organization
GREAT LAKES PSYCHIATRIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANZAR RAJPUT MD (OWNER)
(734) 619-0155
Entity
Organization
Contact information
Practice address
28592 ORCHARD LAKE RD STE 333, FARMINGTON HILLS, MI 48334-2903
(248) 865-7271
(248) 865-7274
Mailing address
3517 NORTHBROOK DR, SUPERIOR TWP, MI 48198-8700
(734) 678-7450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
03/28/2019
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