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Contact Information

PSYCHIATRIC PHYSICIANS, PLLC
4461 GRAND HAVEN ROAD
MUSKEGON, MI49441
 Phone: 231-798-8337
 Fax: 231-798-9816
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PSYCHIATRIC PHYSICIANS, PLLC

NPI # 1982824512
LBN Legal business name PSYCHIATRIC PHYSICIANS, PLLC
Authorized official JAMES WIADUCK - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2007
Last updated 01/08/2020 - About 6 years ago
Identifiers
MI License # 4301066579
MI Other PTANON10230 PTAN ON10230
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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