Organization
UNIVERSITY NEUROSURGICAL ASSOCIATES, PC
Active
Organization
UNIVERSITY NEUROSURGICAL ASSOCIATES, PC
Active
Other names
Michigan Head and Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOHNSON MD (PRESIDENT)
(248) 784-3667
Entity
Organization
Contact information
Practice address
6200 N HAGGERTY RD, STE 200, CANTON, MI 48187-3605
(248) 784-3667
(248) 869-3982
Mailing address
25500 MEADOWBROOK RD STE 150, NOVI, MI 48375-1880
(248) 784-3667
(248) 869-3982
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140F329410
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/24/2010
Last updated
03/05/2025
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