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Organization

CENTER FOR INTERGRATED NEUROLOGY PLC

Active
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Organization

CENTER FOR INTERGRATED NEUROLOGY PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN D RUSSELL (EXECUTIVE DIRECTOR)
(313) 228-0930
Entity
Organization

Contact information

Practice address
43000 W 9 MILE RD, STE 110, NOVI, MI 48375-4180
(248) 277-3334
(248) 277-3337
Mailing address
43000 W 9 MILE RD, STE 110, NOVI, MI 48375-4180
(248) 277-3334
(248) 277-3337

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301079196
MI

Other

Enumeration date
04/01/2013
Last updated
11/02/2015
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