Organization
MICHIGAN BRAIN AND SPINE SURGEONS, PC
Active
Organization
MICHIGAN BRAIN AND SPINE SURGEONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA DORTON (PRACTICE ADMINISTRATOR)
(734) 502-1447
Entity
Organization
Contact information
Practice address
8179 HALCYON CT, GROSSE ILE, MI 48138-1821
(734) 502-1447
Mailing address
8179 HALCYON CT, GROSSE ILE, MI 48138-1821
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301067029
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104987298
—
MI
Enumeration date
11/15/2013
Last updated
11/15/2013
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