Organization
MICHIGAN NEUROLOGY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ANNE-MARIE BURNHAM D.O. (PHYSICIAN)
(586) 493-3188
Entity
Organization
Contact information
Practice address
1030 HARRINGTON ST, SUITE 205, MOUNT CLEMENS, MI 48043-2967
(586) 493-3188
(586) 493-3191
Mailing address
1030 HARRINGTON ST, SUITE 205, MOUNT CLEMENS, MI 48043-2967
(586) 493-3188
(586) 493-3191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
JH012296
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4461374
—
MI
Enumeration date
06/19/2007
Last updated
02/26/2010
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