Doctor Name: | MARY H CLOSSER |
NPI Number: | 1124154109 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 5101009026 |
Business Practice Address: | 2750 S State St Ann Arbor, MI - 481046179 |
Business Phone Number: | 7346626300 |
Business Fax Number: | 7346623365 |
Mailing Address: | 2750 S State St, ANN ARBOR |
State: | MI |
Postal Code: | 481046179 |
Phone Number: | 7346626300 |
Fax Number: | 7346623365 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 5101009026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |