CENTER FOR ADOLESCENT AND CHILD NEUROLOGY NPI 1942620638

NPI Information

CENTER FOR ADOLESCENT AND CHILD NEUROLOGY is a neurology with special qualifications in child neurology psychiatry neurology in Grand Rapids, MI. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. CENTER FOR ADOLESCENT AND CHILD NEUROLOGY NPI is 1942620638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

422 PLYMOUTH AVE NE
GRAND RAPIDS, MI
ZIP 49505-028
Phone: (616) 294-0010

The provider's authorized official is Olufemi Oluseun Soyode .
The authorized official title is Owner and has the following contact phone number (616) 294-0010.

The enumeration date for this NPI number is 4/21/2014 and was last updated on 2/17/2015.

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:

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