Organization
MICHIGAN NEUROSURGICAL INSTITUTE, P.C
Active
Organization
MICHIGAN NEUROSURGICAL INSTITUTE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVERY MICHAEL JACKSON III M.D. (PRESIDENT)
(810) 606-7200
Entity
Organization
Contact information
Practice address
9400 S SAGINAW RD STE A, GRAND BLANC, MI 48439-9666
(810) 606-7200
(810) 606-7115
Mailing address
9400 S SAGINAW RD STE A, GRAND BLANC, MI 48439-9666
(810) 606-7200
(810) 606-7115
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
AJ076974
MI
Other
Enumeration date
06/19/2006
Last updated
07/28/2023
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