Organization · Type 2 NPI

Michigan Minimally Invasive Neurosurgical Institute PLLC

Neurological Surgery Physician · Waterford, MI

NPI number 1114704764 Active

Practice location

5220 Highland Rd Ste 210
Waterford, MI 48327-1973

Fax (248) 383-1031

Mailing address

1070 Timberlake Dr
Bloomfield Hills, MI 48302-2849

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

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 1114704764

Michigan Minimally Invasive Neurosurgical Institute PLLC's National Provider Identifier is 1114704764, issued on Sep 8, 2023. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Waterford, MI. The record was last updated on Sep 8, 2023.