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Organization
MICHIGAN NEUROLOGY ASSOCIATES
Active
Organization
MICHIGAN NEUROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GIANCARLO (PRESIDENT)
(586) 445-9900
Entity
Organization
Contact information
Practice address
34025 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3737
(586) 445-9900
(586) 464-2231
Mailing address
34025 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3737
(586) 445-9900
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4301105998
MI
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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