Northern Michigan Neurology, PLC
Northern Michigan Neurology, PLC is a Neurology Physician in Lake Ann, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
Practice location Address checks out
18688 Bender TrlLake Ann, MI 49650-9434
Phone: (231) 499-1037
Fax: (231) 935-0434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence BE062479 (MI) |
|---|
Record details
| NPI number | 1417988031 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bradley Evans — Provider · (231) 935-0340 |
| NPI enumerated | July 5, 2006 |
| Last updated in NPPES | April 20, 2023 |
| Certification date | April 20, 2023 |
| Mailing address | 18688 Bender Trl, Lake Ann, MI 49650-9434 |