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1225325020
GRETA PARK
NOVI, MI
NPI
1225325020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4301099312)
Enumeration Date
2011-06-30
Last Update Date
2015-06-12
Business Address
-- GRETA PARK
39450 W 12 MILE RD
NOVI, MI 48377-3600
Phone number: 248-344-6688
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Mailing Address
-- GRETA PARK
2799 W GRAND BLVD HENRY FORD HOSPITAL
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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