Organization
PSYCHIATRIC PHYSICIANS, PLLC
Active
Organization
PSYCHIATRIC PHYSICIANS, PLLC
Active
Other names
James P. Wiaduck, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PATRICK WIADUCK M.D. (MEDICAL DIRECTOR)
(231) 798-8337
Entity
Organization
Contact information
Practice address
4461 GRAND HAVEN ROAD, MUSKEGON, MI 49441
(231) 798-8337
(231) 798-9816
Mailing address
P.O. BOX 334, GRAND HAVEN, MI 49417
(231) 798-8337
(231) 798-9816
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
4301066579
MI
2084P0800X
Psychiatry Physician
Primary
4301066579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTANON10230
PTAN ON10230
MI
Enumeration date
04/26/2007
Last updated
01/08/2020
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