Organization
MIND BODY AND SOUL PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LAMAR CHAPMAN M.D. (PRESIDENT)
(313) 530-3452
Entity
Organization
Contact information
Practice address
28592 ORCHARD LAKE RD STE 305, FARMINGTON HILLS, MI 48334-2903
(248) 797-2031
Mailing address
23744 CORA AVE, FARMINGTON HILLS, MI 48336-2620
(248) 797-2031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301076878
MI
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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