CONCEPCION TY ANCOG, M.D., P.C.
Psychiatric at Metropolitan Pkwy, St Heights, MI

License number
Michigan 4301404778
Category
Psychiatric
Type
Psychiatry
Owner
Name: CONCEPCION TY ANCOG M.D.
Title: OWNER
Phone: (246) 646-5288
Address
Address 2
5528 Metropolitan Pkwy, St Heights, MI 48310
7383 Lahser Rd, Bloomfield, MI 48301
National Provider ID: 1033458393
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CONCEPCION TY ANCOG, M.D., PC

Bloomfield, MI

Industry:
Psychiatrist
Doing business as:
Concepcion Ancog MD
Registration:
Nov 5, 1969
Phone:
(248) 646-5288 (Phone)
Addresses:
7383 Lahser Rd, Bloomfield Hills, MI 48301 (Physical)
Michigan (Mailing)
State ID:
059831
Business type:
Domestic Professional Service Corporation
Concepcion Ty Ancog

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