Organization
PEDIATRIC NEUROSURGERY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNIQUE LECHELL WILLIAMS (OFFICE MANAGER)
(313) 745-0659
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 833-4490
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-0659
(313) 833-4748
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4160450
—
MI
05
—
4160459
—
MI
05
—
4210122
—
MI
Enumeration date
02/20/2007
Last updated
02/18/2026
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