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1770794737
SOUTHFIELD NEUROLOGICAL ASSOC PC
SOUTHFIELD, MI
NPI
1770794737
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Entity Type
Organization
Authorized Contact
BRUCE H KOLE
President
248-559-3150
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MI BK027608)
Enumeration Date
2007-05-24
Last Update Date
2010-06-18
Business Address
SOUTHFIELD NEUROLOGICAL ASSOC PC
22250 PROVIDENCE DR SUITE 402
SOUTHFIELD, MI 48075-4825
Phone number: 248-559-3150
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Mailing Address
SOUTHFIELD NEUROLOGICAL ASSOC PC
22250 PROVIDENCE DR SUITE 402
SOUTHFIELD, MI 48075-4825
Phone number: 248-559-3150
Copy
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