| NPI | 1467576132 |
|---|---|
| Doing Business As | NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | TESSY C JENKINS President 248-208-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301058568) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-10-18 |