SOUTHFIELD NEUROLOGICAL ASSOC PC NPI 1770794737

NPI Information

SOUTHFIELD NEUROLOGICAL ASSOC PC is a specialist in Southfield, 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. SOUTHFIELD NEUROLOGICAL ASSOC PC NPI is 1770794737. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22250 PROVIDENCE DR
SUITE 402
SOUTHFIELD, MI
ZIP 48075-825
Phone: (248) 559-3150
Fax: (248) 559-8218

The provider's authorized official is Bruce H Kole .
The authorized official title is President and has the following contact phone number (248) 559-3150.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 6/18/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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