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Sports Neurology Clinic
Sports Medicine (Psychiatry & Neurology) Physician in Brighton, Michigan
NPI 1275043853

Sports Neurology Clinic is a Sports Medicine (Psychiatry & Neurology) Physician based in Brighton, MI and is specialized in Sports Medicine. Sports Neurology Clinic practices in Brighton, MI. The NPI Number for Sports Neurology Clinic is 1275043853 and holds a License No. (Michigan).

The current practice location address for Sports Neurology Clinic is 8273 Grand River Rd Ste 210, Brighton, MI and can be reached out via phone at 734-223-4581.

Location: 8273 Grand River Rd Ste 210, Brighton, MI, 48114-9346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275043853
Provider Name
Sports Neurology Clinic
Credential
Provider Entity Type
Organization
Address
8273 Grand River Rd Ste 210, Brighton, MI, 48114-9346
Phone Number
734-223-4581
Fax Number
Provider Enumeration Date
10/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD.203771 01 LA LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
51983 01 AZ ARIZONA MEDICAL BOARD
4301073973 01 MI STATE OF MICHIGAN BOARD OF MEDICINE
8919590-1205 01 UT STATE OF UTAH BOARD OF MEDICINE
ME131286 01 FL FLORIDA DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
8273 Grand River Rd Ste 210
City
Brighton
State
Michigan
Zip
48114-9346
Phone Number
734-223-4581
Fax Number
person
Provider Business Mailing Address Details
Address
8273 Grand River Rd Ste 210
City
Brighton
State
Michigan
Zip
48114-9346
Phone Number
734-223-4581
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
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
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Sports Medicine
Taxonomy
2084S0010X
License No.
()
Definition
A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.
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