Organization · Type 2 NPI

Great Lakes Neurosurgical Associates, PC

Neurological Surgery Physician · Grand Rapids, MI

NPI number 1366590929 Active

Practice location

3350 Eagle Park Dr NE Ste 102
Grand Rapids, MI 49525-4570

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XLH029420 (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…

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About NPI 1366590929

Great Lakes Neurosurgical Associates, PC's National Provider Identifier is 1366590929, issued on Jan 8, 2007. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 24, 2023.