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

Southfield Neurological Assoc PC

Organization Specialist · NPI 1770794737

Southfield Neurological Assoc PC is a Specialist in Southfield, 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

22250 Providence Dr Ste 402
Southfield, MI 48075-4825
Phone: (248) 559-3150
Fax: (248) 559-8218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence BK027608 (MI)

Record details

NPI number1770794737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Kole — President · (248) 559-3150
NPI enumeratedMay 24, 2007
Last updated in NPPESJune 18, 2010
Mailing address22250 Providence Dr, Suite 402, Southfield, MI 48075-4825

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