Organization
FADI DELLY, MD PC
Active
Other names
Premier Neurology & Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FADI DELLY M.D. (OWNER)
(248) 755-9499
Entity
Organization
Contact information
Practice address
2211 FORT ST, WYANDOTTE, MI 48192-4135
(734) 357-0505
(734) 357-0506
Mailing address
2211 FORT ST, WYANDOTTE, MI 48192-4135
(734) 357-0505
(734) 357-0506
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
4301094922
MI
2084N0400X
Neurology Physician
4301094922
MI
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
4301094922
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301094922
MI
Other
Enumeration date
12/14/2015
Last updated
06/13/2019
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