Provider Demographics
NPI:1427633387
Name:PATRICIA MILNER PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:PATRICIA MILNER PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-713-5580
Mailing Address - Street 1:29300 WOODWARD AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-0963
Mailing Address - Country:US
Mailing Address - Phone:586-713-5580
Mailing Address - Fax:
Practice Address - Street 1:2050 WASHTENAW AVE. W.
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-4819
Practice Address - Country:US
Practice Address - Phone:586-713-5580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty