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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

NPI Number 1508949140
LBN Legal business name MICHIGAN NEURO DIAGNOSTICS PC
Authorized official BARBARA NELSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
MI License # BN041753
WI License # 49561020
MI Other 1304700052 BCBS OF MI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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