| Wayne State University/dmc | |
|
8316 Virgil St Dearborn Heights MI 48127-1520 | |
| (313) 319-4168 | |
| Not Available |
| Full Name | Wayne State University/dmc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8316 Virgil St, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Temenuzhka Georgieva Mihaylova (NEUROPHYSIOLOGY FELLOW) |
| Authorized Official Contact | 3133194168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne State University/dmc 8316 Virgil St Dearborn Heights MI 48127-1520 Ph: (313) 319-4168 | Wayne State University/dmc 8316 Virgil St Dearborn Heights MI 48127-1520 Ph: (313) 319-4168 |
| NPI Number | 1619262235 |
|---|---|
| Provider Enumeration Date | 06/10/2011 |
| Last Update Date | 06/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619262235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301088076 (Michigan) | Primary |
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