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COMPREHENSIVE CLINICAL NEUROLOGY P.C. NPI 1891936977


NPI Information

NPI: 1891936977
Provider Name: COMPREHENSIVE CLINICAL NEUROLOGY P.C.

Former Legal Business Name: COMPREHENSIVE CLINICAL NEUROLOGY PC

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

Specialization: Neurology

Address:
28075 RANCHWOOD DR
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 559-8737
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COMPREHENSIVE CLINICAL NEUROLOGY P.C. is a neurology psychiatry neurology in Southfield, 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. COMPREHENSIVE CLINICAL NEUROLOGY P.C. NPI is 1891936977. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Comprehensive Clinical Neurology Pc.

The provider's business location address is:

28075 RANCHWOOD DR
SOUTHFIELD, MI
ZIP 48076-401
Phone: (248) 559-8737
Fax: (248) 559-7283

The provider's authorized official is David Gaston .
The authorized official title is Dr and has the following contact phone number (248) 559-8737.

The enumeration date for this NPI number is 3/18/2009 and was last updated on 5/11/2023.


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
1261QM2500XClinic/CenterMedical SpecialtyNo
22084N0400XPsychiatry & NeurologyNeurologyDG050339MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DP8335OTHERMICHIGANRAILROAD MEDICARE

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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