David Mazur in Grand Rapids - Psychiatry

David Mazur - NPI 1134114895

David Mazur is a Psychiatry in Grand Rapids, Michigan. David Mazur practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for David Mazur is 1134114895. The last update date is 2010-09-13.

David Mazur's current location address is Po Box 1969, Grand Rapids, Michigan. You can contact this provider via phone number 8009686866. The mailing address for David Mazur is Po Box 1969, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name David Mazur
Address Po Box 1969, Grand Rapids, Michigan
Phone Number 8009686866
Fax Number
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1134114895
Provider Enumeration Date 2005-09-19
Last Updated Date 2010-09-13

Provider Mailing Address Detail

Address Po Box 1969
City Grand Rapids
State Michigan (MI)
Post Code 495011969
Phone Number 8009686866
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 5101009144
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DM009144 BLUE CROSS BLUE SHIELD
3361580 MI --

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FAQs about David Mazur

What is the David Mazur's unique identification number?

The David Mazur has been assigned the NPI (National Provider Identifier) Number 1134114895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where David Mazur is located?

The David Mazur is situated at the following address: Po Box 1969, Grand Rapids, MI, 495011969.

What is David Mazur's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for David Mazur is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.

On what date was the 1134114895 assigned to David Mazur?

The David Mazur was issued its 1134114895 on 2005-09-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding David Mazur most recently updated?

The details pertaining to the David Mazur, including its address, specialty, and other relevant information, were last refreshed on 2010-09-13.

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