Organization
TRI-COUNTY NEUROLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE WORTHING PA-C (PHYSICIAN ASSISTANT)
(586) 286-2770
Entity
Organization
Contact information
Practice address
39581 GARFIELD RD, CLINTON TWP, MI 48038-4300
(586) 286-2770
(586) 286-9080
Mailing address
39581 GARFIELD RD, CLINTON TWP, MI 48038-4300
(586) 286-2770
(586) 286-9080
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005798
MI
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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