Organization
CENTER FOR INTERGRATED NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RUSSELL (EXECUTIVE DIRECTOR)
(248) 277-3334
Entity
Organization
Contact information
Practice address
43000 W 9 MILE RD STE 110, NOVI, MI 48375-4180
(248) 277-3334
(248) 277-3337
Mailing address
43000 W 9 MILE RD STE 110, NOVI, MI 48375-4180
(248) 277-3334
(248) 277-3337
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301079196
MI
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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