GREAT LAKES ELECTROPHYSIOLOGICAL TESTING SERVICES NPI 1992855639

NPI Information

GREAT LAKES ELECTROPHYSIOLOGICAL TESTING SERVICES is a specialist in Farmington Hills, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GREAT LAKES ELECTROPHYSIOLOGICAL TESTING SERVICES NPI is 1992855639. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28959 AUGUSTA
FARMINGTON HILLS, MI
ZIP 48331-822
Phone: (248) 489-1771
Fax: (248) 489-1771

The provider's authorized official is Chyawan Kumar Bansil .
The authorized official title is President and has the following contact phone number (248) 489-1771.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2020.

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:

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