Individual
DR. MICHAEL CZARNOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30055 NORTHWESTERN HWY, SUITE 30, FARMINGTON HILLS, MI 48334-3230
(248) 253-8208
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 653-6568
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301009072
MI
2084N0600X
Clinical Neurophysiology Physician
6301009072
MI
Other
Enumeration date
08/29/2006
Last updated
03/22/2023
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