Organization
NEUROLOGY MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIRISH CHAND MANGALICK MD (OWNER/MED DIRECTOR)
(734) 284-2600
Entity
Organization
Contact information
Practice address
1848 BIDDLE AVE, SUITE 101, WYANDOTTE, MI 48192-3962
(734) 284-2600
(734) 284-2666
Mailing address
1848 BIDDLE AVE, SUITE 101, WYANDOTTE, MI 48192-3962
(734) 284-2600
(734) 284-2666
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301034377
MI
Other
Enumeration date
04/12/2012
Last updated
01/21/2021
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