University Affiliated Neurologists, Inc | |
4201 Saint Antoine St Suite 8d Detroit MI 48201-2153 | |
(313) 745-4275 | |
Not Available |
Full Name | University Affiliated Neurologists, Inc |
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Speciality | Clinical Neuropsychologist |
Location | 4201 Saint Antoine St, Detroit, Michigan |
Authorized Official Name and Position | Suzanne Wasmundt (DIRECTOR) |
Authorized Official Contact | 3135778958 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
University Affiliated Neurologists, Inc 3800 Woodward Ave Suite 600 Detroit MI 48201-2061 Ph: () - | University Affiliated Neurologists, Inc 4201 Saint Antoine St Suite 8d Detroit MI 48201-2153 Ph: (313) 745-4275 |
NPI Number | 1124249420 |
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Provider Enumeration Date | 05/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124249420 | NPI | - | NPPES |
0H24771 | Other | MI | BCBSM GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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