| Bloomfield Neurology Clinic, P.c. | |
|
43494 Woodward Ave Suite 103 Bloomfield Hills MI 48302-5052 | |
| (248) 338-8400 | |
| (248) 338-8151 |
| Full Name | Bloomfield Neurology Clinic, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 43494 Woodward Ave, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Sayyed Sohrab (PRESIDENT) |
| Authorized Official Contact | 2483388400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomfield Neurology Clinic, P.c. 43494 Woodward Ave Suite 103 Bloomfield Hills MI 48302-5052 Ph: (248) 338-8400 | Bloomfield Neurology Clinic, P.c. 43494 Woodward Ave Suite 103 Bloomfield Hills MI 48302-5052 Ph: (248) 338-8400 |
| NPI Number | 1013108810 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 12/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013108810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301073017 (Michigan) | Primary |
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