Organization · NPI-2
Abdallah E Zamaria MD And Barbara Henike MD PC
Psychologist, Prescribing (Medical) · Saint Clair Shores, MI
NPI number1184821829
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1184821829
- Entity type
- Organization (NPI-2)
- Legal business name
- Abdallah E Zamaria MD And Barbara Henike MD PC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2007
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP0016X | Psychologist, Prescribing (Medical) | AZ034941 | MI | Yes |
Practice location
24001 Greater Mack AveSuite C
Saint Clair Shores, MI 48080-1471
Phone 586-772-3244 · Fax 586-772-8550
Mailing address
24001 Greater Mack AveSuite C
Saint Clair Shores, MI 48080-1471
Phone 586-772-3244 · Fax 586-772-8550
Authorized official
Abdallah E Zamaria
Owner
5867723244
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