Organization
VIVID NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REMONDA ELYAS (MANAGER)
(248) 864-8752
Entity
Organization
Contact information
Practice address
26400 W 12 MILE RD STE 20, SOUTHFIELD, MI 48034-1774
(248) 864-8752
(248) 920-0744
Mailing address
26400 W 12 MILE RD STE 20, SOUTHFIELD, MI 48034-1774
(248) 864-8752
(248) 920-0744
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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