Mon Poulose, MD

NPI 1982835526 · on the registry since 2009 · sole proprietor

Practice

Address: 3225 N Evergreen Drive Ne
Suite 301
Grand Rapids, MI 49525
Phone: (716) 348-7834
Fax: (616) 364-6400
Organisation at this address: Pine Rest Christian Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Also registered as: 283Q00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan