Individual
DR. JACEK DEBIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4250 PLYMOUTH ROAD, ANN ARBOR, MI 48109-2700
(734) 764-6443
(734) 763-5580
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
4301101970
MI
2084P0800X
Psychiatry Physician
Primary
4301101970
MI
2084P0804X
Child & Adolescent Psychiatry Physician
4301101970
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2007
Last updated
01/16/2013
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