| Clinical Neurophysiology Consulting Pllc | |
|
160 Campau Cir Nw Unit 151 Grand Rapids MI 49503-6100 | |
| (313) 977-0217 | |
| Not Available |
| Full Name | Clinical Neurophysiology Consulting Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 160 Campau Cir Nw Unit 151, Grand Rapids, Michigan |
| Authorized Official Name and Position | David Edwin Burdette (PRESIDENT) |
| Authorized Official Contact | 3139770217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Neurophysiology Consulting Pllc 160 Campau Cir Nw Unit 151 Grand Rapids MI 49503-6100 Ph: (313) 977-0217 | Clinical Neurophysiology Consulting Pllc 160 Campau Cir Nw Unit 151 Grand Rapids MI 49503-6100 Ph: (313) 977-0217 |
| NPI Number | 1497487524 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497487524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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