Organization
SAGINAW VALLEY NEUROSURGERY, P.L.L.C.
Active
Organization
SAGINAW VALLEY NEUROSURGERY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI KOSCIUSZKO (PRACTICE MANAGER)
(989) 799-8712
Entity
Organization
Contact information
Practice address
4677 TOWNE CENTRE RD, SUITE 301, SAGINAW, MI 48604-2846
(989) 799-8712
(989) 791-1152
Mailing address
4677 TOWNE CENTRE RD, SUITE 301, SAGINAW, MI 48604-2846
(989) 799-8712
(989) 791-1152
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
4301022285
MI
207T00000X
Neurological Surgery Physician
Primary
4301045222
MI
2084N0400X
Neurology Physician
4301072871
MI
363AS0400X
Surgical Physician Assistant
5601001993
MI
Other
Enumeration date
09/22/2006
Last updated
08/02/2010
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