MICHIGAN NEUROLOGY P.L.L.C. NPI 1689879629

NPI Information

  • NPI: 1689879629
  • Provider Name: MICHIGAN NEUROLOGY, P.L.L.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1030 HARRINGTON ST
    SUITE 205
    MOUNT CLEMENS, MI
    ZIP 48043
  • Phone: (586) 493-3188

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NPI Details

MICHIGAN NEUROLOGY, P.L.L.C. is a specialist in Mount Clemens, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MICHIGAN NEUROLOGY, P.L.L.C. NPI is 1689879629. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1030 HARRINGTON ST
SUITE 205
MOUNT CLEMENS, MI
ZIP 48043-967
Phone: (586) 493-3188
Fax: (586) 493-3191

The provider's authorized official is Julie Anne-marie Burnham .
The authorized official title is Physician and has the following contact phone number (586) 493-3188.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 2/26/2010.

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
1174400000XSpecialistJH012296MICHIGANYes

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
1ON61000MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
24461374MEDICAIDMICHIGAN
3G76123MEDICARE UPINMICHIGAN

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

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