Organization Name: | THE CENTER FOR EATING DISORDERS |
NPI Number: | 1154766244 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUZANNE DOOLEY-HASH (PHYSICIAN) |
Mailing Address: | 111 N 1st St Ste 2 Ann Arbor |
State: | MI US |
Postal Code: | 481041397 |
Phone Number: | 7346688585 |
Fax Number: | 7346682645 |
NPI Enumeration Date: | 05/03/2013 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301078402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |