Northern Neurology, Pllc | |
550 Osborn Blvd Sault Sainte Marie MI 49783-1899 | |
(906) 253-9136 | |
Not Available |
Full Name | Northern Neurology, Pllc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 550 Osborn Blvd, Sault Sainte Marie, Michigan |
Authorized Official Name and Position | Craig T Coccia (PRESIDENT) |
Authorized Official Contact | 9062254575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northern Neurology, Pllc 1414 W Fair Ave Suite 348 Marquette MI 49855-2675 Ph: (906) 225-3964 | Northern Neurology, Pllc 550 Osborn Blvd Sault Sainte Marie MI 49783-1899 Ph: (906) 253-9136 |
NPI Number | 1104806827 |
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Provider Enumeration Date | 01/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1104806827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | 4301081266 (Michigan) | Primary |
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