Search › Michigan › 1835P1300X
Opal Bacon, PHARMD
NPI 1285177493 · on the registry since 2016
Practice
- Address
- 1 Ford Place, 1c
Outpatient Psychiatry
Detroit, MI 48202 - Phone
- (313) 556-7882
- Fax
- (313) 874-6650
Registry record
- Primary taxonomy
- 1835P1300X
1835P1300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-21
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