Mich Neuro Diagnostics PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MICH NEURO DIAGNOSTICS PC

Practice address

42621 Garfield Rd
Suite 110
Clinton TWP, MI 48038-5031

Phone

(224) 563-9959

NPI assigned

Jun 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Barbara G Nelson, M.D

Title

President/Owner

Phone

(224) 563-9959

Specialties & licenses 1

Addresses

Other names 1

• Michigan Neuro Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1801150792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380168",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480380061",
            "telephone_number": "224-563-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42621 GARFIELD RD",
            "address_2": "SUITE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385031",
            "telephone_number": "224-563-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICH NEURO DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "224-563-9959",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Neuro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercyland Health Services
• Michael Arthur Merz, PH.D.
• Ghada Mesleh, MD
• Angela Messina, MD
• MGM Dental
• Michael a Wagner PLLC
• Michael E. Simony D.D.S.P.C.
• Michael F Wind DO PC
• Michael J. Ramos DDS & Erik P. Feinauer DDS P.L.L.C.
• Michigan Neurology Associates DME

• Neurology Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.