| Psychiatric Consultants Of Grand Blanc Pllc | |
|
8305 S Saginaw St Ste 6 Grand Blanc MI 48439-1894 | |
| (810) 445-8405 | |
| Not Available |
| Full Name | Psychiatric Consultants Of Grand Blanc Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8305 S Saginaw St Ste 6, Grand Blanc, Michigan |
| Authorized Official Name and Position | Purna Surapaneni (OWNER) |
| Authorized Official Contact | 8104458405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Consultants Of Grand Blanc Pllc 8305 S Saginaw St Ste 6 Grand Blanc MI 48439-1894 Ph: (810) 445-8405 | Psychiatric Consultants Of Grand Blanc Pllc 8305 S Saginaw St Ste 6 Grand Blanc MI 48439-1894 Ph: (810) 445-8405 |
| NPI Number | 1215711676 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215711676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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