| Michigan Neurology Clinic Pc | |
|
31208 Beck Rd Novi MI 48377-1022 | |
| (248) 579-4052 | |
| Not Available |
| Full Name | Michigan Neurology Clinic Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 31208 Beck Rd, Novi, Michigan |
| Authorized Official Name and Position | Bassam Maaz (PRESIDENT) |
| Authorized Official Contact | 2485794052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Neurology Clinic Pc Po Box 128 Dearborn MI 48121-0128 Ph: (248) 579-4052 | Michigan Neurology Clinic Pc 31208 Beck Rd Novi MI 48377-1022 Ph: (248) 579-4052 |
| NPI Number | 1083166169 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083166169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301053885 (Michigan) | Primary |
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