Greta Park
Psychiatry · Novi, MI
UnclaimedNPI 1225325020
- Primary taxonomy
- 2084P0800X
- Enumerated
- 2011-06-30
- Practice location
- Novi, MI
- Last NPPES update
- 2015-06-12
State licenses
- MI · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.