Provider Demographics
NPI:1386029445
Name:LOUIS FEURINO MD PLLC
Entity Type:Organization
Organization Name:LOUIS FEURINO MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FEURINO
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:313-605-5330
Mailing Address - Street 1:900 VICTORS WAY STE 240
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2705
Mailing Address - Country:US
Mailing Address - Phone:313-605-5330
Mailing Address - Fax:734-661-0322
Practice Address - Street 1:900 VICTORS WAY STE 240
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2705
Practice Address - Country:US
Practice Address - Phone:313-605-5330
Practice Address - Fax:734-661-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty