Mill Street Psychiatric & Medical Clinic P L C | |
380 Mill St Ortonville MI 48462-8721 | |
(248) 961-3088 | |
(248) 627-7682 |
Full Name | Mill Street Psychiatric & Medical Clinic P L C |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 380 Mill St, Ortonville, Michigan |
Authorized Official Name and Position | Janet Delores Heasley (PROVIDER) |
Authorized Official Contact | 2486277682 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mill Street Psychiatric & Medical Clinic P L C 927 Evergreen Ridge Ortonville MI 48462-8721 Ph: (248) 961-3088 | Mill Street Psychiatric & Medical Clinic P L C 380 Mill St Ortonville MI 48462-8721 Ph: (248) 961-3088 |
NPI Number | 1861610750 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861610750 | NPI | - | NPPES |
0856312505 | Other | MI | BLUE CROSS MICHIGAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | JH013119 (Michigan) | Primary |
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