Organization · Type 2 NPI

Michigan Medical PC

Neurology Physician · Grand Rapids, MI

NPI number 1407011935 Active

Practice location

750 Fuller Ave NE
Grand Rapids, MI 49503-1918

Mailing address

4085 Burton St SE, Suite 200
Grand Rapids, MI 49546-2444

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XNone listed

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 1407011935

Michigan Medical PC's National Provider Identifier is 1407011935, issued on Jul 24, 2008. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 24, 2008.