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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