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1194063057
CHANNING LIPSON
WEST BLOOMFIELD, MI
NPI
1194063057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MI 4301019122)
Enumeration Date
2013-01-27
Last Update Date
2013-01-27
Business Address
DR. CHANNING LIPSON M.D.
2095 BORDEAUX ST
WEST BLOOMFIELD, MI 48323-3012
Phone number: 248-737-1984
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Mailing Address
DR. CHANNING LIPSON M.D.
2095 BORDEAUX ST
WEST BLOOMFIELD, MI 48323-3012
Phone number: 248-737-1984
Copy
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