Unknown Individual – Psychiatry Physician, NPI 1790899466
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
740, North Macomb Street, Monroe, Frenchtown Township, Monroe County, Michigan, 48162, United States
MONROE, MI 481627813
Phone: (734) 240-1760
Fax: (734) 240-7999
Type: Location
1177, Lexington Boulevard, Summit Township, Jackson County, Michigan, 49201, United States
JACKSON, MI 492019856
Phone: (517) 796-1768
Fax: (517) 796-4968
Type: Mailing
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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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 48162)
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