NORTHWESTERN PSYCHIATRY & COUNSELING CENTER PC
Psychiatric in Southfield, MI

License number
Michigan MM048520
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. MADHU MENDIRATTA MD
Title: MD
Phone: (248) 945-9370
Address
Address
26699 Mile Rd STE 100, Southfield, MI 48034
National Provider ID: 1275671968
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHWESTERN PSYCHIATRY & COUNSELING CENTER, PC

Southfield, MI

Registration:
Feb 15, 2001
Addresses:
26699 W 12 Mile Rd STE 100, Southfield, MI 48034 (Physical)
Michigan (Mailing)
State ID:
45638A
Business type:
Domestic Professional Service Corporation
Agent:
Madhu Mendiratta, M.d

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