| NPI | 1992170187 |
|---|---|
| Doing Business As | PREMIER NEUROLOGY & PAIN SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | FADI DELLY Owner 248-755-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301094922) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MI 4301094922) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301094922) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: MI 4301094922) | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2019-06-13 |