Mill Street Psychiatric & Medical Clinic P L C
NPI #1861610750 in Ortonville, Michigan
Provider Information
- NPI Number
- 1861610750
- Entity Type
- Organization
- Organization Name
- Mill Street Psychiatric & Medical Clinic P L C
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 380 MILL ST
- City
- Ortonville
- State
- Michigan
- ZIP Code
- 48462-8721
- Phone
- (248) 961-3088
Authorized Official
- Name
- JANET DELORES HEASLEY, D.O.
- Title
- PROVIDER
- Phone
- (248) 627-7682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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