Organization
CNM NEUROCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR COSCARELLI (AUTHORIZED OFFICIAL)
(734) 245-9892
Entity
Organization
Contact information
Practice address
45211 HELM ST, PLYMOUTH, MI 48170-6023
(734) 245-9892
Mailing address
350 E DEVON AVE # 713590, ITASCA, IL 60143-1249
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
03/07/2025
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