Imagine Health, P.c.

NPI 1265623292 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1265623292
Enumeration Date 08/06/2007
Last Updated 09/25/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK LAWRENCE MARK
Position OWNER
Phone (248) 647-3466
Fax (248) 647-9142
Practice Location
1019 HAYNES ST
BIRMINGHAM MI, 48009-6779, US
Phone (248) 647-3466
Fax (248) 647-9142
Business Location
1019 HAYNES ST
BIRMINGHAM MI, 48009-6779, US
Phone (248) 647-0391
Fax (248) 647-9142
Toxanomy
Taxonomy Code 2084P0800X
License State Michigan
License Number 4301055165
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According to our database, Imagine Health, P.c. NPI is 1265623292, taxonomy code is 2084P0800X and license number is 4301055165, license state is located at Michigan. Imagine Health, P.c. physically located at 1019 Haynes St, Birmingham MI, 48009-6779. NPI Number 1033115704 has the healthcare provider type.

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1265623292 NPI number is provided on an as is basis without warranty of any kind. 1265623292 is maintained by the National Plan & Provider Enumeration System. The contents of Imagine Health, P.c. are for informational purposes only.