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Michigan Neurodiagnostics, Pc
Specialist in Livonia, Michigan
NPI 1700909843

Michigan Neurodiagnostics, Pc is a Specialist based in Livonia, MI. Michigan Neurodiagnostics, Pc practices in Livonia, MI. The NPI Number for Michigan Neurodiagnostics, Pc is 1700909843 and holds a License No. ST039317 (Michigan).

The current practice location address for Michigan Neurodiagnostics, Pc is 15142 Levan Rd, Livonia, MI and can be reached out via phone at 734-779-2147 and via fax at 734-779-2160.

Location: 15142 Levan Rd, Livonia, MI, 48154-5027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700909843
Provider Name
Michigan Neurodiagnostics, Pc
Credential
Provider Entity Type
Organization
Address
15142 Levan Rd, Livonia, MI, 48154-5027
Phone Number
734-779-2147
Fax Number
734-779-2160
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4161242 TYPE 10 05 MI
institution
Provider Business Practice Location Address Details
Address
15142 Levan Rd
City
Livonia
State
Michigan
Zip
48154-5027
Phone Number
734-779-2147
Fax Number
734-779-2160
person
Provider Business Mailing Address Details
Address
15142 Levan Rd
City
Livonia
State
Michigan
Zip
48154-5027
Phone Number
734-779-2147
Fax Number
734-779-2160
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ST039317 (Michigan)
Definition
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.
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