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Southfield Neurological Assoc Pc
Specialist in Southfield, Michigan
NPI 1770794737

Southfield Neurological Assoc Pc is a Specialist based in Southfield, MI. Southfield Neurological Assoc Pc practices in Southfield, MI. The NPI Number for Southfield Neurological Assoc Pc is 1770794737 and holds a License No. BK027608 (Michigan).

The current practice location address for Southfield Neurological Assoc Pc is 22250 Providence Dr, Southfield, MI and can be reached out via phone at 248-559-3150 and via fax at 248-559-8218.

Location: 22250 Providence Dr, Southfield, MI, 48075-4825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770794737
Provider Name
Southfield Neurological Assoc Pc
Credential
Provider Entity Type
Organization
Address
22250 Providence Dr, Southfield, MI, 48075-4825
Phone Number
248-559-3150
Fax Number
248-559-8218
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1059871 05 MI
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr
City
Southfield
State
Michigan
Zip
48075-4825
Phone Number
248-559-3150
Fax Number
248-559-8218
person
Provider Business Mailing Address Details
Address
22250 Providence Dr
City
Southfield
State
Michigan
Zip
48075-4825
Phone Number
248-559-3150
Fax Number
248-559-8218
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
BK027608 (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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