JACK MORDECAI PARENT

ANN ARBOR, MI
NPI1972684116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: MI  4301076136)
Additional Taxonomies2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: MI  4301076136)
Enumeration Date2006-10-17
Last Update Date2020-09-28
Business Address
JACK MORDECAI PARENT MD
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
Mailing Address
JACK MORDECAI PARENT MD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299