| Advanced Sleep Disorder Center Llc | |
|
1159 E Michigan Ave Suite D Ypsilanti MI 48198-5807 | |
| (734) 480-4250 | |
| (734) 480-4251 |
| Full Name | Advanced Sleep Disorder Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 1159 E Michigan Ave, Ypsilanti, Michigan |
| Authorized Official Name and Position | Kenneth J Phillips (MANAGER) |
| Authorized Official Contact | 2488511264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Sleep Disorder Center Llc Po Box 250681 Franklin MI 48025-0681 Ph: (248) 851-1264 | Advanced Sleep Disorder Center Llc 1159 E Michigan Ave Suite D Ypsilanti MI 48198-5807 Ph: (734) 480-4250 |
| NPI Number | 1114095510 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114095510 | NPI | - | NPPES |
| 4618122 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | GA405226 (Michigan) | Primary |
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