Elliot Charles Wagenheim in Birmingham - Forensic Psychiatry
Elliot Charles Wagenheim - NPI 1588774566
Elliot Charles Wagenheim is a Forensic Psychiatry in Birmingham, Michigan. Elliot Charles Wagenheim practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Elliot Charles Wagenheim is 1588774566. The last update date is 2007-07-08.
Elliot Charles Wagenheim's current location address is 280 N Old Woodward Ave, Birmingham, Michigan. You can contact this provider via phone number 2486428330 and fax number 2486426630. The mailing address for Elliot Charles Wagenheim is 280 N Old Woodward Ave, Birmingham, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elliot Charles Wagenheim |
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Address | 280 N Old Woodward Ave, Birmingham, Michigan |
Phone Number | 2486428330 |
Fax Number | 2486426630 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1588774566 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 280 N Old Woodward Ave |
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City | Birmingham |
State | Michigan (MI) |
Post Code | 480095300 |
Phone Number | 2486428330 |
Fax Number | 2486426630 |
Provider's Primary Taxonomy Detail
Speciality | Forensic Psychiatry |
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Taxonomy | 2084F0202X |
Licence No | 4301035135 |
Definition: Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and fo |
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What is the Elliot Charles Wagenheim's 1588774566?
The Elliot Charles Wagenheim's NPI (National Provider Identifier) Number is 1588774566. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Elliot Charles Wagenheim's facilities are situated?
The facilities of Elliot Charles Wagenheim are physically located at the following address: 280 N Old Woodward Ave, Birmingham, MI, 480095300.
What is the area of specialization for Elliot Charles Wagenheim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elliot Charles Wagenheim is Forensic Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084F0202X.
On what date was the 1588774566 assigned to Elliot Charles Wagenheim?
The Elliot Charles Wagenheim was issued its 1588774566 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Elliot Charles Wagenheim most recently updated or revised?
The information pertaining to Elliot Charles Wagenheim, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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