Organization
MICHIGAN NEUROLOGY ASSOCIATES DME
Active
Parent organization
MICHIGAN NEUROLOGY ASSOCIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN NEUROLOGY ASSOCIATES PC
Authorized official
THOMAS GIANCARLO DO (PRESIDENT, MNA)
(586) 445-9900
Entity
Organization
Contact information
Practice address
19699 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1655
(586) 445-9900
(586) 585-2405
Mailing address
34025 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3737
(586) 445-9900
(586) 445-2641
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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