Individual
MICHAEL KRSTEVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2075 WEST BIG BEAVER, 520, TROY, MI 48084-3442
(248) 646-6659
Mailing address
42245 ANN ARBOR RD E, 101, PLYMOUTH, MI 48170-4311
(313) 727-9202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015132
MI
Other
Enumeration date
06/27/2012
Last updated
04/05/2013
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