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Contact Information

MICHIGAN NEURO DIAGNOSTICS PC
42621 GARFIELD
STE 110
CILNTON TOWNSHIP, MI48038
 Phone: 586-228-9065
 Fax: 586-228-9039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for MICHIGAN NEURO DIAGNOSTICS PC · (Female)

NPI # 1508949140
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # BN041753
  • WI License # 49561020
  • MI Other 1304700052 BCBS OF MI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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