Organization
ELEANOR MEDINA MD PC
Active
Organization
ELEANOR MEDINA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEANOR MEDINA M.D. (PSYCHIATRIST)
(248) 258-5839
Entity
Organization
Contact information
Practice address
60 BALFOUR DR, BLOOMFIELD HILLS, MI 48304-2100
(248) 258-5839
Mailing address
60 BALFOUR DR, BLOOMFIELD HILLS, MI 48304-2100
(248) 258-5839
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2606304582
MI
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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