| Center For Intergrated Neurology Plc | |
|
43000 W 9 Mile Rd Ste 110 Novi MI 48375-4180 | |
| (248) 277-3334 | |
| (248) 277-3337 |
| Full Name | Center For Intergrated Neurology Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 43000 W 9 Mile Rd, Novi, Michigan |
| Authorized Official Name and Position | John D Russell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3132280930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Intergrated Neurology Plc 43000 W 9 Mile Rd Ste 110 Novi MI 48375-4180 Ph: (248) 277-3334 | Center For Intergrated Neurology Plc 43000 W 9 Mile Rd Ste 110 Novi MI 48375-4180 Ph: (248) 277-3334 |
| NPI Number | 1073856704 |
|---|---|
| Provider Enumeration Date | 04/01/2013 |
| Last Update Date | 11/02/2015 |
| Medicare PECOS PAC ID | 2567771777 |
|---|---|
| Medicare Enrollment ID | O20151028002261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073856704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301079196 (Michigan) | Primary |
| Provider Name | Randall Reed Benson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992742415 PECOS PAC ID: 2466464771 Enrollment ID: I20060630000239 |
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