is a Clinical Neurophysiology in Lansing, Michigan. practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for is 1477710135. The last update date is .
's current location address is 1515 Lake Lansing Rd, Lansing, Michigan. You can contact this provider via phone number 5173741055 and fax number 5173741061. The mailing address for is 1515 Lake Lansing Rd, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1515 Lake Lansing Rd, Lansing, Michigan |
| Phone Number | 5173741055 |
| Fax Number | 5173741061 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1477710135 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1515 Lake Lansing Rd |
|---|---|
| City | Lansing |
| State | Michigan (MI) |
| Post Code | 489123753 |
| Phone Number | 5173741055 |
| Fax Number | 5173741061 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 4301035133 |
|
Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1687260 | MI | -- | |
| 331291 | MI | MEDICARE ID-TYPE UNSPECIFIED |
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