Organization
FLINT NEUROSCIENCE CENTER, PLLC
Active
Parent organization
FLINT NEUROSCIENCE CENTER, PLLC
Other names
Great Lakes Spine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLINT NEUROSCIENCE CENTER, PLLC
Authorized official
DR. HUGO LOPEZ-NEGRETE MD (MANAGING PARTNER)
(810) 733-7560
Entity
Organization
Contact information
Practice address
G3239 BEECHER RD, FLINT, MI 48532-3616
(810) 733-7560
(810) 733-2890
Mailing address
DEPT. CH 17809, PALATINE, IL 60055-7809
(810) 733-7560
(810) 733-2890
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700B511200
BCBS OF MICHIGAN
—
01
—
C14627
MEDICARE RAILROAD
—
Enumeration date
05/14/2008
Last updated
08/14/2013
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