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Contact Information

GEROPSYCH GROUP LLC
32270 TELEGRAPH RD STE 240
BINGHAM FARMS, MI48025-2457
 Phone: 248-593-1717
 Fax: 248-593-1711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for GEROPSYCH GROUP LLC

NPI # 1306143235
LBN Legal business name GEROPSYCH GROUP LLC
Authorized official MANUEL DUMLAO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2011
Last updated 02/11/2011 - About 15 years ago
Identifiers
MI License # MD047459
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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