Organization
CLINICAL NEUROPHYSIOLOGY CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EDWIN BURDETTE MD (PRESIDENT)
(313) 977-0217
Entity
Organization
Contact information
Practice address
160 CAMPAU CIR NW UNIT 151, GRAND RAPIDS, MI 49503-6100
(313) 977-0217
Mailing address
160 CAMPAU CIR NW UNIT 151, GRAND RAPIDS, MI 49503-6100
(313) 977-0217
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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