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

Mi Neurosurgery Clinic PC

Organization Physician Assistant · NPI 1912049099

Mi Neurosurgery Clinic PC is a Physician Assistant in Grand Blanc, 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

3635 Genesys Pkwy
Grand Blanc, MI 48439-8070
Phone: (810) 606-7535
Fax: (810) 606-7510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004125 (MI)

Record details

NPI number1912049099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Tartaglione — Owner · (810) 424-2007
NPI enumeratedFebruary 13, 2007
Last updated in NPPESSeptember 20, 2007
Mailing address3495 S Center Rd, Burton, MI 48519-1455

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