| Guanco Clinic Pc | |
|
47100 Schoenherr Rd Suite B Shelby Township MI 48315-4716 | |
| (586) 566-6880 | |
| (586) 566-6882 |
| Full Name | Guanco Clinic Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 47100 Schoenherr Rd, Shelby Township, Michigan |
| Authorized Official Name and Position | Kirk Guanco (OFFICE MANAGER) |
| Authorized Official Contact | 5865666880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guanco Clinic Pc 47100 Schoenherr Rd Suite B Shelby Township MI 48315-4716 Ph: (586) 566-6880 | Guanco Clinic Pc 47100 Schoenherr Rd Suite B Shelby Township MI 48315-4716 Ph: (586) 566-6880 |
| NPI Number | 1548442072 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548442072 | NPI | - | NPPES |
| 2107150 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301031105 (Michigan) | Primary |
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