Northwest Neurology Pc

NPI 1467576132 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1467576132
Enumeration Date 03/19/2007
Last Updated 10/18/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TESSY C TESSY
Position PRESIDENT
Phone (248) 208-9215
Fax (248) 208-9217
Practice Location
27200 LAHSER RD
SUITE 100
SOUTHFIELD MI, 48034-2137, US
Phone (248) 208-9215
Fax (248) 208-9217
Business Location
27200 LAHSER RD
SUITE 100
SOUTHFIELD MI, 48034-2137, US
Phone (248) 208-9215
Fax (248) 208-9217
Toxanomy
Taxonomy Code 2084N0400X
License State Michigan
License Number 4301058568
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According to our database, Northwest Neurology Pc NPI is 1467576132, taxonomy code is 2084N0400X and license number is 4301058568, license state is located at Michigan. Northwest Neurology Pc physically located at 27200 Lahser Rd, Southfield MI, 48034-2137. NPI Number 1033115704 has the healthcare provider type.

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1467576132 NPI number is provided on an as is basis without warranty of any kind. 1467576132 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Neurology Pc are for informational purposes only.