Organization
GANLEY,GILROY NEUROLOGY P.C.
Active
Organization
GANLEY,GILROY NEUROLOGY P.C.
Active
Other names
Michigan Center for Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI ANN GANLEY D.O. (PRESIDENT)
(248) 723-4488
Entity
Organization
Contact information
Practice address
31500 TELEGRAPH RD, SUITE 200, BINGHAM FARMS, MI 48025-4367
(248) 723-4488
(248) 723-4481
Mailing address
31500 TELEGRAPH RD, SUITE 200, BINGHAM FARMS, MI 48025-4367
(248) 723-4488
(248) 723-4481
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114157491
—
MI
01
—
130F375610
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/08/2006
Last updated
03/07/2008
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