ELEANOR MEDINA MD PC
Psychiatric at Balfour Dr, Bloomfield, MI

License number
Michigan 2606304582
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. ELEANOR MEDINA M.D.
Title: PSYCHIATRIST
Phone: (248) 258-5839
Address
Address
60 Balfour Dr, Bloomfield, MI 48304
National Provider ID: 1912244310
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELEANOR MEDINA, MD. PC

Bloomfield, MI

Industry:
Medical Doctor's Office, Nonclassifiable Establishments, Offices and Clinics of Medical Doctors, Nsk
Doing business as:
Eleanor Medina MD PC
Registration:
Sep 7, 2012
Addresses:
60 Balfour, Bloomfield Hills, MI 48304 (Physical)
Michigan (Mailing)
State ID:
04870W
Business type:
Domestic Professional Service Corporation
Principal:
Eleanor M. Medina (Principal)
Agent:
Eleanor Medina

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