Organization
COMPREHENSIVE CLINICAL NEUROLOGY P.C.
Active
Other names
comprehensive clinical neurology PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GASTON MD (DR)
(248) 559-8737
Entity
Organization
Contact information
Practice address
28075 RANCHWOOD DR, SOUTHFIELD, MI 48076-2401
(248) 559-8737
(248) 559-7283
Mailing address
28075 RANCHWOOD DR, SOUTHFIELD, MI 48076-2401
(248) 559-8737
(248) 559-7283
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DG050339
MI
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP8335
RAILROAD MEDICARE
MI
Enumeration date
03/18/2009
Last updated
05/11/2023
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