Neuralwatch Wisconsin Llc | |
812 Avis Dr Ann Arbor MI 48108-9649 | |
(800) 638-7564 | |
(866) 634-2766 |
Full Name | Neuralwatch Wisconsin Llc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 812 Avis Dr, Ann Arbor, Michigan |
Authorized Official Name and Position | Brad Davis (OWNER/PRESIDENT) |
Authorized Official Contact | 8006387564 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Neuralwatch Wisconsin Llc 812 Avis Dr Ann Arbor MI 48108-9649 Ph: (800) 638-7564 | Neuralwatch Wisconsin Llc 812 Avis Dr Ann Arbor MI 48108-9649 Ph: (800) 638-7564 |
NPI Number | 1538304027 |
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Provider Enumeration Date | 12/11/2008 |
Last Update Date | 06/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538304027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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