MICHIGAN NEUROSURGICAL SPECIALISTS PC NPI 1295871770

NPI Information

  • NPI: 1295871770
  • Provider Name: MICHIGAN NEUROSURGICAL SPECIALISTS PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D2268825
  • Address: 5220 HIGHLAND RD
    SUITE 210
    WATERFORD, MI
    ZIP 48327
  • Phone: (248) 383-1030

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NPI Details

MICHIGAN NEUROSURGICAL SPECIALISTS PC is a clinic center in Waterford, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MICHIGAN NEUROSURGICAL SPECIALISTS PC NPI is 1295871770. The provider is registered as an organization entity type.

The provider's business location address is:

5220 HIGHLAND RD
SUITE 210
WATERFORD, MI
ZIP 48327-913
Phone: (248) 383-1030
Fax: (248) 383-1031

The provider's authorized official is Steven M Rapp .
The authorized official title is Owner and has the following contact phone number (248) 383-1030.

The CLIA number assigned to this NPI record is 23D2268825 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 3/16/2010.

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
1261Q00000XClinic/CenterYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10M99600MEDICARE PINMICHIGAN
2140F319840OTHERMICHIGANBCBSM
36317830001MEDICARE NSCMICHIGAN

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: 3/30/2025

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