Organization · Type 2 NPI

Eastside Neurosurgery PC

Specialist · Detroit, MI

NPI number 1952596926 Active

Practice location

22201 Moross Rd, Suite 352
Detroit, MI 48236-2169

Call (313) 343-7900 Map

Fax (313) 343-7001

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4301406954 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1952596926

Eastside Neurosurgery PC's National Provider Identifier is 1952596926, issued on Sep 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Detroit, MI. The record was last updated on Dec 10, 2010.