NPI | 1891936977 |
---|---|
Former Legal Business Name | COMPREHENSIVE CLINICAL NEUROLOGY PC |
Entity Type | Organization |
Authorized Contact | DAVID GASTON Dr 248-559-8737 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI DG050339) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2009-03-18 |
Last Update Date | 2023-05-11 |