Regents of the University of Michigan-Pediatric Surgery Offsite

Organization Active
NPI 1003069139
Neurology with Special Qualifications in Child Neurology Physician Grand Blanc, MI

Regents of the University of Michigan-Pediatric Surgery Offsite holds NPI 1003069139, with a primary taxonomy of neurology with special qualifications in child neurology physician and a practice location in Grand Blanc, MI. The number was issued on November 3, 2008 and the NPPES record was last updated on November 3, 2008. The record lists 4 taxonomy codes.

This record hasn't been updated in NPPES since 2008. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X Not listed
Neurology Physician 2084N0400X Not listed
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X Not listed
Sports Medicine (Psychiatry & Neurology) Physician 2084S0010X Not listed

Practice location

4642 Genesys Parkway
Grand Blanc, MI 48439-8067
Phone: (810) 606-5830

Local context

Active NPPES records list 2 providers with neurology with special qualifications in child neurology physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 93 in Michigan and 3,018 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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