Organization
NOVI NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY SAMUEL M.D. (PRESIDENT)
(248) 347-8293
Entity
Organization
Contact information
Practice address
44000 W 12 MILE RD, STE 213, NOVI, MI 48377-2644
(248) 347-8293
(248) 305-6847
Mailing address
PO BOX 1038, BLOOMFIELD, MI 48303-1038
(248) 347-8293
(248) 305-6847
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301060170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4477679
—
MI
Enumeration date
12/02/2010
Last updated
12/02/2010
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