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MICHIGAN ADVANCED NEUROLOGY CENTER PLLC NPI 1003004086


NPI Profile

NPI: 1003004086
Provider Name: MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC

Doing Business As: MANC

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

Specialization: Neurology

Address:
4705 TOWNE CTR
STE. 201
SAGINAW, MI
ZIP 48604
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Phone: (989) 799-2770

MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC is a neurology psychiatry neurology in Saginaw, 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. MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC NPI is 1003004086. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Manc.

The provider's business location address is:

4705 TOWNE CTR
STE. 201
SAGINAW, MI
ZIP 48604-818
Phone: (989) 799-2770
Fax: (989) 799-2737

The provider's authorized official is Lisa Macarthur .
The authorized official title is Office Manager and has the following contact phone number (989) 799-2770.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 9/25/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyDM066728MICHIGANYes

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
14695041MEDICAIDMICHIGAN

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: 11/7/2021

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