Mi Neurosurgery Clinic Pc in Grand Blanc - Physician Assistant
Mi Neurosurgery Clinic Pc - NPI 1912049099
Mi Neurosurgery Clinic Pc is a Physician Assistant in Grand Blanc, Michigan. Mi Neurosurgery Clinic Pc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mi Neurosurgery Clinic Pc is 1912049099. The last update date is 2007-09-20.
Mi Neurosurgery Clinic Pc's current location address is 3635 Genesys Pkwy, Grand Blanc, Michigan. You can contact this provider via phone number 8106067535 and fax number 8106067510. The mailing address for Mi Neurosurgery Clinic Pc is 3635 Genesys Pkwy, Grand Blanc, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mi Neurosurgery Clinic Pc |
|---|---|
| Address | 3635 Genesys Pkwy, Grand Blanc, Michigan |
| Phone Number | 8106067535 |
| Fax Number | 8106067510 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tartaglione Dawn |
| Credentials | DO |
| Telephone Number | 8104242007 |
NPI Number Detail
| NPI Number | 1912049099 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 3635 Genesys Pkwy |
|---|---|
| City | Grand Blanc |
| State | Michigan (MI) |
| Post Code | 484398070 |
| Phone Number | 8106067535 |
| Fax Number | 8106067510 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004125 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the unique identifier code issued to Mi Neurosurgery Clinic Pc by the Centers for Medicare & Medicaid Services?
The Mi Neurosurgery Clinic Pc has been assigned the NPI (National Provider Identifier) 1912049099. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mi Neurosurgery Clinic Pc's facilities are geographically located?
The facilities of Mi Neurosurgery Clinic Pc are physically situated at the following location: 3635 Genesys Pkwy, Grand Blanc, MI, 484398070.
What is Mi Neurosurgery Clinic Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mi Neurosurgery Clinic Pc's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912049099 to Mi Neurosurgery Clinic Pc?
The Centers for Medicare & Medicaid Services originally issued the 1912049099 to Mi Neurosurgery Clinic Pc on 2007-02-13.
When was the information regarding Mi Neurosurgery Clinic Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mi Neurosurgery Clinic Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-20.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA