| David P. Stanislaw, Jr., M.s.w., P.c. | |
|
191 N Old Woodward Ave Birmingham MI 48009-3350 | |
| (248) 645-2777 | |
| Not Available |
| Full Name | David P. Stanislaw, Jr., M.s.w., P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 191 N Old Woodward Ave, Birmingham, Michigan |
| Authorized Official Name and Position | David P. Stanislaw (PRESIDENT) |
| Authorized Official Contact | 2486452777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David P. Stanislaw, Jr., M.s.w., P.c. 191 N Old Woodward Ave Birmingham MI 48009-3350 Ph: (248) 645-2777 | David P. Stanislaw, Jr., M.s.w., P.c. 191 N Old Woodward Ave Birmingham MI 48009-3350 Ph: (248) 645-2777 |
| NPI Number | 1063593424 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063593424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801000270 (Michigan) | Primary |
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