Organization · Type 2 NPI

Mi Neurosurgery Clinic PC

Neurological Surgery Physician · Grand Blanc, MI

NPI number 1114052628 Active

Practice location

3635 Genesys Pkwy
Grand Blanc, MI 48439-8070

Fax (810) 606-7510

Mailing address

3495 S Center Rd
Burton, MI 48519-1455

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X5101012775 (MI)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

4 other providers at this address

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About NPI 1114052628

Mi Neurosurgery Clinic PC's National Provider Identifier is 1114052628, issued on Feb 23, 2007. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Grand Blanc, MI. The record was last updated on Aug 22, 2020.