Organization
E.I. NEUROLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELMOATAZ IBRAHIM MD (CEO)
(612) 298-1580
Entity
Organization
Contact information
Practice address
15945 19 MILE RD STE 106, CLINTON TOWNSHIP, MI 48038-1147
(586) 263-0610
(586) 263-0834
Mailing address
43781 STONEY LN, STERLING HEIGHTS, MI 48313-2259
(586) 263-0610
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301094678
MI
Other
Enumeration date
03/20/2018
Last updated
11/23/2020
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