Unknown Individual – Psychiatry Physician, NPI 1730293176
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
47274, Hunters Park Drive, Hunters Park, Plymouth Charter Township, Wayne County, Michigan, 48170, United States
PLYMOUTH, MI 481703098
Phone: (734) 285-8282
Fax: (734) 281-0402
Type: Mailing
Eureka Road, Taylor, Wayne County, Michigan, 48174, United States
TAYLOR, MI 481805377
Phone: (734) 285-8282
Fax: (734) 281-0405
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48170)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI |
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