Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastside Neurosurgery PC

Organization Specialist · NPI 1952596926

Eastside Neurosurgery PC is a Specialist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22201 Moross Rd Ste 352
Detroit, MI 48236-2169
Phone: (313) 343-7900
Fax: (313) 343-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 4301406954 (MI)

Record details

NPI number1952596926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Graham — Manager · (313) 343-8833
NPI enumeratedSeptember 12, 2007
Last updated in NPPESDecember 10, 2010
Mailing address22201 Moross Rd, Suite 352, Detroit, MI 48236-2169

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