MON C POULOSE

GRAND RAPIDS, MI
NPI1982835526
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MI  4301099983)
Additional Taxonomies283Q00000X Psychiatric Hospital
Enumeration Date2009-07-30
Last Update Date2014-01-29
Business Address
DR. MON C POULOSE MD
3225 N EVERGREEN DRIVE NE SUITE 301
GRAND RAPIDS, MI 49525
Phone number: 716-348-7834
Mailing Address
DR. MON C POULOSE MD
3225 N EVERGREEN DRIVE NE SUITE 301
GRAND RAPIDS, MI 49525
Phone number: 716-348-7834