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Organization

MICH NEURO DIAGNOSTICS PC

Active
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Organization

MICH NEURO DIAGNOSTICS PC

Active
Other names
Michigan Neuro
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA G NELSON M.D (PRESIDENT/OWNER)
(224) 563-9959
Entity
Organization

Contact information

Practice address
42621 GARFIELD RD, SUITE 110, CLINTON TWP, MI 48038-5031
(224) 563-9959
Mailing address
PO BOX 380168, CLINTON TWP, MI 48038-0061
(224) 563-9959

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
06/26/2012
Last updated
12/10/2012
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