GERONTOLOGY NETWORK

Geriatric Psychiatry Physician · GRAND RAPIDS, MI

Organization Active NPI 1649306879

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Geriatric Psychiatry Physician2084P0805XMI
Mental Health Counselor101YM0800X
Clinical Social Worker1041C0700XMI
Psychiatry Physician2084P0800XMI
Case Management Agency251B00000XMI

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.