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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