Organization
MICHIGAN NEUROLOGY CLINIC PC
Active
Organization
MICHIGAN NEUROLOGY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM MAAZ M.D. (PRESIDENT)
(248) 579-4052
Entity
Organization
Contact information
Practice address
31208 BECK RD, NOVI, MI 48377-1022
(248) 579-4052
Mailing address
PO BOX 128, DEARBORN, MI 48121-0128
(248) 579-4052
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301053885
MI
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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