| Mlrc A Medical Group Pc | |
|
26803 Ryan Rd Warren MI 48091-4075 | |
| (818) 736-5836 | |
| Not Available |
| Full Name | Mlrc A Medical Group Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 26803 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Robert John Lagrou (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2487031869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlrc A Medical Group Pc 7318 Lindenmere Dr Bloomfield MI 48301-3531 Ph: () - | Mlrc A Medical Group Pc 26803 Ryan Rd Warren MI 48091-4075 Ph: (818) 736-5836 |
| NPI Number | 1427563089 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 12/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427563089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 5101015978 (Michigan) | Primary |
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