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Manuel Dumlao Md Pc
Adult Mental Health Clinic/Center in Dearborn, Michigan
NPI 1164482451

Manuel Dumlao Md Pc is an Adult Mental Health Clinic/Center based in Dearborn, MI and is specialized in Adult Mental Health. Manuel Dumlao Md Pc practices in Dearborn, MI. The NPI Number for Manuel Dumlao Md Pc is 1164482451 and holds a License No. 4301047459 (Michigan).

The current practice location address for Manuel Dumlao Md Pc is 2314 Monroe St, Dearborn, MI and can be reached out via phone at 313-562-6633 and via fax at 313-562-0880.

Location: 2314 Monroe St, Dearborn, MI, 48124-3045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164482451
Provider Name
Manuel Dumlao Md Pc
Credential
Provider Entity Type
Organization
Address
2314 Monroe St, Dearborn, MI, 48124-3045
Phone Number
313-562-6633
Fax Number
313-562-0880
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2608218572 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2314 Monroe St
City
Dearborn
State
Michigan
Zip
48124-3045
Phone Number
313-562-6633
Fax Number
313-562-0880
person
Provider Business Mailing Address Details
Address
2314 Monroe St
City
Dearborn
State
Michigan
Zip
48124-3045
Phone Number
313-562-6633
Fax Number
313-562-0880
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
4301047459 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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