Organization
PORT HURON BEHAVIORAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIPA LOUISE ZYLANOFF M.D. (GENERAL PARTNER)
(810) 633-9211
Entity
Organization
Contact information
Practice address
309 MCMORRAN BLVD, PORT HURON, MI 48060-3807
(810) 488-7974
(810) 794-7751
Mailing address
309 MCMORRAN BLVD, PORT HURON, MI 48060-3807
(810) 488-7974
(810) 794-8851
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
430105549
MI
Other
Enumeration date
07/07/2009
Last updated
12/01/2009
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