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1912049099
MI NEUROSURGERY CLINIC PC
GRAND BLANC, MI
NPI
1912049099
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Entity Type
Organization
Authorized Contact
DAWN TARTAGLIONE
Owner
810-424-2007
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004125)
Enumeration Date
2007-02-13
Last Update Date
2007-09-20
Business Address
MI NEUROSURGERY CLINIC PC
3635 GENESYS PKWY
GRAND BLANC, MI 48439-8070
Phone number: 810-606-7535
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Mailing Address
MI NEUROSURGERY CLINIC PC
3495 S CENTER RD
BURTON, MI 48519-1455
Phone number: 810-424-2007
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