| NPI | 1083666820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L ROMIG Provider Enrollment 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-09-16 |