Organization
MICHIGAN NEUROLOGY ASSOCIATES, P.C.
Active
Parent organization
MICHIGAN NEUROLOGY ASSOCIATES, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN NEUROLOGY ASSOCIATES, P.C.
Authorized official
DR. THOMAS GIANCARLO M.D. (PRESIDENT)
(586) 445-9900
Entity
Organization
Contact information
Practice address
34025 HARPER AVE, CLINTON TWP, MI 48035-3737
(586) 445-9900
Mailing address
34025 HARPER AVE, CLINTON TWP, MI 48035-3737
(586) 445-9900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1010000026
MI
Other
Enumeration date
08/25/2011
Last updated
01/18/2022
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