Organization
MICHIGAN NEURO DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GARRETT NELSON MD (PRESIDENT)
(586) 228-9065
Entity
Organization
Contact information
Practice address
42621 GARFIELD, STE 110, CLINTON TOWNSHIP, MI 48038
(586) 228-9065
(586) 228-9039
Mailing address
PO BOX 380168, CLINTON TOWNSHIP, MI 48038-0061
(586) 228-9065
(586) 228-9039
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
BN041753
MI
208600000X
Surgery Physician
Primary
49561020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1304700052
BCBS OF MI
MI
Enumeration date
10/24/2006
Last updated
09/11/2025
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