Detroit Brain Institute Pllc | |
18111 Wildemere St Detroit MI 48221-2728 | |
(313) 492-5701 | |
Not Available |
Full Name | Detroit Brain Institute Pllc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 18111 Wildemere St, Detroit, Michigan |
Authorized Official Name and Position | Gregory Norris (PRESIDENT) |
Authorized Official Contact | 3134925701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Detroit Brain Institute Pllc 17177 N Laurel Park Dr Suite 439 Livonia MI 48152-2693 Ph: (734) 462-0340 | Detroit Brain Institute Pllc 18111 Wildemere St Detroit MI 48221-2728 Ph: (313) 492-5701 |
NPI Number | 1932573904 |
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Provider Enumeration Date | 11/13/2015 |
Last Update Date | 11/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932573904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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