Organization
GLENDALE NEUROLOGICAL ASSOCIATES P C
Active
Organization
GLENDALE NEUROLOGICAL ASSOCIATES P C
Active
Other names
Michigan Institute for Neurological Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM D BOUDOURIS DO (PRESIDENT)
(248) 553-0010
Entity
Organization
Contact information
Practice address
28595 ORCHARD LAKE RD, SUITE 200, FARMINGTON HILLS, MI 48334-2977
(248) 553-0010
(248) 553-0818
Mailing address
28595 ORCHARD LAKE RD, SUITE 200, FARMINGTON HILLS, MI 48334-2977
(248) 553-0010
(248) 553-0818
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
MI
208VP0014X
Interventional Pain Medicine Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
04/18/2006
Last updated
07/02/2026
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