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Dr. Edwin Black George, MDPHD
Clinical Neurophysiology Physician in Detroit, Michigan
NPI 1255378774

Edwin Black George is a Clinical Neurophysiology Physician based in Troy, MI and is specialized in Clinical Neurophysiology. Edwin Black George practices in Detroit, MI and has the professional credentials of MDPHD. The NPI Number for Edwin Black George is 1255378774 and holds a License No. 4301068940 (Michigan).

The current practice location address for Edwin Black George is 4201 St Antoine Ste 8A & 8B, Detroit, MI and can be reached out via phone at 313-745-4275 and via fax at 313-745-4468. You can also correspond with Edwin Black George through the mailing address at 1560 E MAPLE RD, TROY, MI - 48083-1138 (mailing address contact number: 313-745-4275).

Location: 4201 St Antoine Ste 8A & 8B, Detroit, MI, 48083-1138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255378774
Provider Name
Edwin Black George
Credential
MDPHD
Provider Entity Type
Individual
Gender
Male
Address
4201 St Antoine Ste 8A & 8B, Detroit, MI, 48083-1138
Phone Number
313-745-4275
Fax Number
313-745-4468
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4201 St Antoine Ste 8A & 8B
City
Detroit
State
Michigan
Zip
48201-2153
Phone Number
313-745-4275
Fax Number
313-745-4468
person
Provider Business Mailing Address Details
Address
1560 E Maple Rd
City
Troy
State
Michigan
Zip
48083-1138
Phone Number
313-745-4275
Fax Number
313-745-4468
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
4301068940 (Michigan)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
4301068940 (Michigan)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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