| Neurology Michigan Pc | |
|
1848 Biddle Ave Suite 101 Wyandotte MI 48192-3962 | |
| (734) 284-2600 | |
| (734) 284-2666 |
| Full Name | Neurology Michigan Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1848 Biddle Ave, Wyandotte, Michigan |
| Authorized Official Name and Position | Girish Chand Mangalick (OWNER/MED DIRECTOR) |
| Authorized Official Contact | 7342842600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Michigan Pc 1848 Biddle Ave Suite 101 Wyandotte MI 48192-3962 Ph: (734) 284-2600 | Neurology Michigan Pc 1848 Biddle Ave Suite 101 Wyandotte MI 48192-3962 Ph: (734) 284-2600 |
| NPI Number | 1336406552 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336406552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301034377 (Michigan) | Primary |
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