| NPI | 1275043853 |
|---|---|
| Doing Business As | THE SPORTS NEUROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY KUTCHER National Director 734-223-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0010X Psychiatry & Neurology, Sports Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-12-05 |