MICHIGAN MINIMALLY INVASIVE NEUROSURGICAL INSTITUTE PLLC NPI 1114704764

NPI Information

  • NPI: 1114704764
  • Provider Name: MICHIGAN MINIMALLY INVASIVE NEUROSURGICAL INSTITUTE PLLC
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • Address: 5220 HIGHLAND RD STE 210
    WATERFORD, MI
    ZIP 48327
  • Phone: (248) 383-1030

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NPI Details

MICHIGAN MINIMALLY INVASIVE NEUROSURGICAL INSTITUTE PLLC is a neurological surgery in Waterford, MI. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. MICHIGAN MINIMALLY INVASIVE NEUROSURGICAL INSTITUTE PLLC NPI is 1114704764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5220 HIGHLAND RD STE 210
WATERFORD, MI
ZIP 48327-973
Phone: (248) 383-1030
Fax: (248) 383-1031

The provider's authorized official is Miguelangelo J Perez-cruet .
The authorized official title is Owner and has the following contact phone number (248) 535-6952.

The enumeration date for this NPI number is 9/8/2023 and was last updated on 9/8/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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