GREAT LAKES PEDIATRIC NEUROLOGY is a medical specialty clinic center in Dearborn, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GREAT LAKES PEDIATRIC NEUROLOGY NPI is 1417017476. The provider is registered as an organization entity type.
The provider's business location address is:
1331 MONROE ST
DEARBORN, MI
ZIP 48124-888
Phone: (248) 851-1700
Fax: (248) 851-3830
The provider's authorized official is Yasser Awaad .
The authorized official title is President and has the following contact phone number (248) 851-1700.
The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.