Individual provider · Type 1 NPI

Edwin Black George, MD PHD

Neurology Physician · Detroit, MI

NPI number 1255378774 Active

Practice location

4201 St Antoine Ste 8A & 8B, University Health Center
Detroit, MI 48201-2153

Call (313) 745-4275 Map

Fax (313) 745-4468

Mailing address

1560 E Maple Rd, Suite 400-CREDENTIALING
Troy, MI 48083-1138

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X4301068940 (MI)
Clinical Neurophysiology Physician 2084N0600X4301068940 (MI)

Neurology Physician: 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.

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About NPI 1255378774

Edwin Black George, MD PHD's National Provider Identifier is 1255378774, issued on Jun 1, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Detroit, MI. The record was last updated on Aug 3, 2016.