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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