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
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
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 280 N Old Woodward Ave
City Birmingham
State Michigan (MI)
Post Code 480095300
Phone Number 2486428330
Fax Number 2486426630

Provider's Primary Taxonomy Detail

Speciality Forensic Psychiatry
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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FAQs about Elliot Charles Wagenheim

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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