Organization
UNIVERSITY NEUROSURGICAL ASSOCIATES
Active
Other names
Michigan Head and Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R JOHNSON MD (PRESIDENT)
(877) 784-3667
Entity
Organization
Contact information
Practice address
18984 LIVERNOIS AVE, DETROIT, MI 48221-4210
(877) 784-3667
(248) 869-3982
Mailing address
29275 NORTHWESTERN HWY, STE 100, SOUTHFIELD, MI 48034-1044
(877) 784-3667
(248) 869-3982
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140F329410
BLUE CROSS BLUE SHIELD OF MICHIGAN
—
Enumeration date
07/31/2009
Last updated
07/31/2009
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