Organization
TRICOUNTY NEUROLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY JOSEPH KANER DO (PRESIDENT)
(586) 286-2770
Entity
Organization
Contact information
Practice address
39581 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-4300
(586) 286-2770
(586) 286-9080
Mailing address
39581 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-4300
(586) 286-2770
(586) 286-9080
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101006993
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130E06358
BLUE CROSS BLUE SHIELD
MI
05
—
2118322 11
—
MI
Enumeration date
10/12/2006
Last updated
06/08/2015
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