| Mrgmpnneurology | |
|
27483 Dequindre Rd #306 Madison Heights MI 48071-3491 | |
| (248) 967-7988 | |
| (248) 967-7991 |
| Full Name | Mrgmpnneurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 27483 Dequindre Rd, Madison Heights, Michigan |
| Authorized Official Name and Position | Sarah Starkel (MANAGER) |
| Authorized Official Contact | 2486808000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrgmpnneurology Po Box 14129 Belfast ME 04915-4032 Ph: () - | Mrgmpnneurology 27483 Dequindre Rd #306 Madison Heights MI 48071-3491 Ph: (248) 967-7988 |
| NPI Number | 1245440015 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245440015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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