Center for Individualized Medicine PLLC
Center for Individualized Medicine PLLC is a Child & Adolescent Psychiatry Physician in Wyandotte, Michigan. Licensed in Michigan. Registered with an NPI since 2013.
- Licensed in
- MI
- In the registry since
- 2013
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1404 Biddle AveWyandotte, MI 48192-3706
Phone: (734) 624-8000
Fax: (734) 326-1443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X · Licence 4301046425 (MI) |
|---|
Record details
| NPI number | 1760814289 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Surjit Mahal — Owner · (734) 324-8000 |
| NPI enumerated | August 7, 2013 |
| Last updated in NPPES | August 7, 2013 |
| Mailing address | Po Box 251921, West Bloomfield, MI 48325-1921 |
Other providers in Wyandotte
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Dr. Surjit Singh Mahal, MD
1404 Biddle Ave, Wyandotte, MI 48192-3706 · (734) 324-8000