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GLENDALE NEUROLOGICAL ASSOCIATES P C NPI 1639134414


NPI Information

NPI: 1639134414
Provider Name: GLENDALE NEUROLOGICAL ASSOCIATES P C

Doing Business As: MICHIGAN INSTITUTE FOR NEUROLOGICAL DISORDERS

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
28595 ORCHARD LAKE RD
SUITE 200
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 553-0010
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GLENDALE NEUROLOGICAL ASSOCIATES P C is a neurology psychiatry neurology in Farmington Hills, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. GLENDALE NEUROLOGICAL ASSOCIATES P C NPI is 1639134414. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Michigan Institute For Neurological Disorders.

The provider's business location address is:

28595 ORCHARD LAKE RD
SUITE 200
FARMINGTON HILLS, MI
ZIP 48334-977
Phone: (248) 553-0010
Fax: (248) 553-0818

The provider's authorized official is William E Boudouris .
The authorized official title is President and has the following contact phone number (248) 553-0010.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 10/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineNo
2261QR0200XClinic/CenterRadiologyNo
32084N0400XPsychiatry & NeurologyNeurologyMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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