Mcmillan, Michael D

Mcmillan, Michael D is an individual health care provider with primary practice located at 22201 Moross Rd 270, Detroit MI 48236-2169. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Mcmillan, Michael D can be contacted via phone (313) 343-3481.

Contact Information

Primary practice address
22201 Moross Rd 270 Detroit MI 48236-2169
Phone: (313) 343-3481
Fax: (313) 343-7937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301002599 Michigan

Profile Details

NPI number 1477642239
LBN Legal business name Mcmillan, Michael D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jan 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477642239 NPPES
Michigan Other 0H208910 BLUE CROSS GROUP
Michigan Other 0H260650 BLUE CROSS GROUP

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