| Milton J Grosenbach Edd, Pc | |
|
3562 S Lapeer Rd Suite F Metamora MI 48455-8998 | |
| (810) 678-8898 | |
| (810) 678-8808 |
| Full Name | Milton J Grosenbach Edd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3562 S Lapeer Rd, Metamora, Michigan |
| Authorized Official Name and Position | Milton James Grosenbach (DR OWNER) |
| Authorized Official Contact | 8106788898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milton J Grosenbach Edd, Pc 3562 S Lapeer Rd Suite F Metamora MI 48455-8998 Ph: (810) 678-8898 | Milton J Grosenbach Edd, Pc 3562 S Lapeer Rd Suite F Metamora MI 48455-8998 Ph: (810) 678-8898 |
| NPI Number | 1821135831 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821135831 | NPI | - | NPPES |
| 0M43200 | Other | MI | MEDICARE ID |
| OD41119 | Other | MI | BLUE CARE NETWORK |
| 0D41076 | Other | MI | BLUE CROSS BLUE SHIELD |
| 620G44601 | Other | MI | HEALTH PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301003782 (Michigan) | Primary |
| 302F00000X | Exclusive Provider Organization | 4101005216 (Michigan) | Secondary |
Je Craig And Associates Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3383 S Lapeer Rd, Metamora, MI 48455 Phone: 810-406-1660 Fax: 248-970-0210 | |
R & H Behavior Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 Galway Bay Dr, Metamora, MI 48455 Phone: 248-672-9521 | |
Roger C. Gietzen, M.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3630b Thornville Rd, Metamora, MI 48455 Phone: 586-838-0404 |