| Michigan Center For Neurology | |
|
31500 Telegraph Rd Suite 200 Bingham Farms MI 48025-4367 | |
| (248) 723-4488 | |
| (248) 723-4481 |
| Full Name | Michigan Center For Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 31500 Telegraph Rd, Bingham Farms, Michigan |
| Authorized Official Name and Position | Jodi Ann Ganley (PRESIDENT) |
| Authorized Official Contact | 2487234488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Center For Neurology 31500 Telegraph Rd Suite 200 Bingham Farms MI 48025-4367 Ph: (248) 723-4488 | Michigan Center For Neurology 31500 Telegraph Rd Suite 200 Bingham Farms MI 48025-4367 Ph: (248) 723-4488 |
| NPI Number | 1134178064 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 03/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134178064 | NPI | - | NPPES |
| 114157491 | Medicaid | MI | |
| 130F375610 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Michigan) | Primary |
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