Peter M Lisiecki Phd Pc Inc

NPI 1043352701 - Psychologist - 103T00000X

NPI Details
NPI 1043352701
Enumeration Date 02/12/2007
Last Updated 06/17/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PETER MICHAEL PETER
Position PRESIDENT
Phone (810) 227-1999
Fax (810) 225-2265
Practice Location
7960 W. GRAND RIVER
STE 120
BRIGHTON MI, 48114-7335, US
Phone (810) 227-1999
Fax (810) 225-2265
Business Location
7960 GRAND RIVER RD STE 120
BRIGHTON MI, 48114-7335, US
Phone
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number 6301003173
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According to our database, Peter M Lisiecki Phd Pc Inc NPI is 1043352701, taxonomy code is 103T00000X and license number is 6301003173, license state is located at Michigan. Peter M Lisiecki Phd Pc Inc physically located at 7960 W. Grand River, Brighton MI, 48114-7335. NPI Number 1033115704 has the healthcare provider type.

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1043352701 NPI number is provided on an as is basis without warranty of any kind. 1043352701 is maintained by the National Plan & Provider Enumeration System. The contents of Peter M Lisiecki Phd Pc Inc are for informational purposes only.