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Organization

MICHIGAN HEADACHE & NEUROLOGICAL INSTITUTE PC

Active
Other names
Michigan Head-Pain & Neurological Institute, PC
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT F MADDEN FACHE (VICE PRESIDENT & ADMINISTRATOR)
(734) 677-6000
Entity
Organization

Contact information

Practice address
3120 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 677-6000
(734) 677-2422
Mailing address
3120 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 677-6000
(734) 677-2422

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
10/04/2006
Last updated
03/12/2019
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