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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