Organization
NEUROLOGY ASSOCIATES SOUTHEAST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROBERT GRAMPRIE M.D. (OWNER/NEUROLOGIST)
(810) 229-9799
Entity
Organization
Contact information
Practice address
2300 GENOA BUSINESS PARK DR, SUITE 190, BRIGHTON, MI 48114-7367
(810) 229-9799
(810) 229-1713
Mailing address
2300 GENOA BUSINESS PARK DR, SUITE 190, BRIGHTON, MI 48114-7367
(810) 229-9799
(810) 229-1713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301064374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077046
—
MI
Enumeration date
10/19/2013
Last updated
10/19/2013
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