Mi Neurosurgery Clinic PC
NPI #1912049099 in Grand Blanc, Michigan
Provider Information
- NPI Number
- 1912049099
- Entity Type
- Organization
- Organization Name
- Mi Neurosurgery Clinic PC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Sep 20, 2007
Practice Location
- Address
- 3635 GENESYS PKWY
- City
- Grand Blanc
- State
- Michigan
- ZIP Code
- 48439-8070
- Phone
- (810) 606-7535
Authorized Official
- Name
- DAWN TARTAGLIONE, DO
- Title
- OWNER
- Phone
- (810) 424-2007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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