Organization
SENIOR PSYCHIATRIC HOSPITALISTS OF MI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KOELZER (MANAGER)
(734) 634-9965
Entity
Organization
Contact information
Practice address
3572 EMPIRE STATE DR, CANTON, MI 48188-8202
(734) 634-9965
Mailing address
3572 EMPIRE STATE DR, CANTON, MI 48188-8202
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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