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Organization

MICHIGAN NEUROLOGY ASSOCIATES DME

Active
Parent organization
MICHIGAN NEUROLOGY ASSOCIATES PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MICHIGAN NEUROLOGY ASSOCIATES PC
Authorized official
THOMAS GIANCARLO DO (PRESIDENT, MNA)
(586) 445-9900
Entity
Organization

Contact information

Practice address
11051 HALL RD, STE 240, UTICA, MI 48317-5735
(586) 323-9900
(586) 323-5051
Mailing address
34025 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3737
(586) 445-9900
(586) 445-2641

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/22/2016
Last updated
07/22/2016
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