NEUROSURGERY GROUP P.C. NPI 1386736536

NPI Information

  • NPI: 1386736536
  • Provider Name: NEUROSURGERY GROUP, P.C.
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • Doing Business As: WELLNESS PHYSICAL MEDICINE CENTER
  • Address: 43650 GARFIELD
    CLINTON TWP, MI
    ZIP 48038
  • Phone: (586) 263-0820

Map and Directions

Get Directions

NPI Details

NEUROSURGERY GROUP, P.C. is a neurological surgery in Clinton Twp, 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. NEUROSURGERY GROUP, P.C. NPI is 1386736536. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellness Physical Medicine Center.

The provider's business location address is:

43650 GARFIELD
CLINTON TWP, MI
ZIP 48038-332
Phone: (586) 263-0820
Fax: (586) 263-3819

The provider's authorized official is Marie Theresa Chisholm .
The authorized official title is Practice Manager and has the following contact phone number (586) 412-8566.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/19/2008.

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 Surgery052399MICHIGANNo
2208100000XPhysical Medicine & Rehabilitation405324MICHIGANNo
32084N0400XPsychiatry & NeurologyNeurology051833MICHIGANNo
4363AM0700XPhysician AssistantMedical5601002721MICHIGANNo
5363AM0700XPhysician AssistantMedical5601003971MICHIGANNo
6207T00000XNeurological Surgery028777MICHIGANYes

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
14815097MEDICAIDMICHIGAN
21437099MEDICAIDMICHIGAN
3B45700MEDICARE UPIN
40500452MEDICARE ID-TYPE UNSPECIFIED
51891095MEDICAIDMICHIGAN
60500244MEDICARE ID-TYPE UNSPECIFIED
74815088MEDICAIDMICHIGAN
8F00482MEDICARE UPIN
9A75015MEDICARE UPIN
10F25013MEDICARE UPIN
110500776MEDICARE ID-TYPE UNSPECIFIED
121255280001MEDICARE NSCMICHIGAN
13N88620001MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI