Organization
COMPREHENSIVE CLINICAL NEUROLOGY P.C.
Active
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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