Organization
GREAT LAKES PEDIATRIC NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASSER AWAAD MD (PRESIDENT)
(248) 851-1700
Entity
Organization
Contact information
Practice address
1331 MONROE ST, DEARBORN, MI 48124-2888
(248) 851-1700
(248) 851-3830
Mailing address
1331 MONROE ST, DEARBORN, MI 48124-2888
(248) 851-1700
(248) 851-3830
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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