Organization
MIDWEST NEURO FORENSICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE R BONESTEEL PH.D (PRESIDENT)
(630) 969-3233
Entity
Organization
Contact information
Practice address
2609 METROPOLITAN PKWY, SUITE 300, STERLING HEIGHTS, MI 48310-4216
(586) 446-2225
(586) 446-2227
Mailing address
2609 METROPOLITAN PKWY, SUITE 300, STERLING HEIGHTS, MI 48310-4216
(586) 446-2225
(586) 446-2227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013025
MI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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