Organization
MICHIGAN BRAIN AND SPINE
Active
Organization
MICHIGAN BRAIN AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK S JUNN MD (OWNER)
(313) 996-7322
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 403, DEARBORN, MI 48124-5032
(313) 982-5290
Mailing address
8179 HALCYON CT, GROSSE ILE, MI 48138-1821
(313) 996-7322
(313) 982-5605
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301067029
MI
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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