# MICHIGAN NEUROLOGY ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICHIGAN NEUROLOGY ASSOCIATES, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518247295
- **Legal business name:** MICHIGAN NEUROLOGY ASSOCIATES, P.C.
- **Authorized official:** DR. THOMAS GIANCARLO M.D. (PRESIDENT)
- **Authorized official phone:** (586) 445-9900

## Contact information

- **Practice address:** 34025 HARPER AVE, CLINTON TWP, MI 48035-3737
- **Practice address phone:** (586) 445-9900
- **Mailing address:** 34025 HARPER AVE, CLINTON TWP, MI 48035-3737
- **Mailing address phone:** (586) 445-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1010000026 | MI | Yes |

## Other

- **Enumeration date:** 08/25/2011
- **Last updated:** 01/18/2022