Great Lakes Neurology, Pc in Petoskey - Neurology
Great Lakes Neurology, Pc - NPI 1811071798
Great Lakes Neurology, Pc is a Neurology in Petoskey, Michigan. Great Lakes Neurology, Pc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Great Lakes Neurology, Pc is 1811071798. The last update date is 2012-02-21.
Great Lakes Neurology, Pc's current location address is 932 Spring St Ste 102, Petoskey, Michigan. You can contact this provider via phone number 2314873970. The mailing address for Great Lakes Neurology, Pc is 932 Spring St Ste 102, Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Neurology, Pc |
|---|---|
| Address | 932 Spring St Ste 102, Petoskey, Michigan |
| Phone Number | 2314873970 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Huder Steven |
| Telephone Number | 2314873970 |
NPI Number Detail
| NPI Number | 1811071798 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2012-02-21 |
Provider Mailing Address Detail
| Address | 932 Spring St Ste 102 |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497702286 |
| Phone Number | 2314873970 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | SH067274 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3514160 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Great Lakes Neurology, Pc?
The Great Lakes Neurology, Pc has been issued the NPI (National Provider Identifier) 1811071798 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Great Lakes Neurology, Pc's facilities are situated?
The facilities of Great Lakes Neurology, Pc are physically located at the following address: 932 Spring St Ste 102, Petoskey, MI, 497702286.
What is Great Lakes Neurology, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Great Lakes Neurology, Pc's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811071798 to Great Lakes Neurology, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1811071798 to Great Lakes Neurology, Pc on 2006-10-25.
As of what date was the information regarding Great Lakes Neurology, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Great Lakes Neurology, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-21.