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NPI Profile for CEIS PLLC in BLOOMFIELD HILLS, MI.
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
207QA0000X | 08 | Physician/Family Practice | |
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Pediatrics |
163WP0200X | |||
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI Number | 1427843408 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/10/2025 | |
| Last updated | 07/17/2025 - About 11 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CEIS PLLC
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CEIS PLLC