NEUROLOGY MICHIGAN PC
Neurology at Biddle Ave, Brownstown Township, MI

License number
Michigan 4301034377
Category
Neurology
Type
Neurology
Owner
Name: GIRISH CHAND MANGALICK MD
Title: OWNER/MED DIRECTOR
Phone: (734) 284-2600
Address
Address
1848 Biddle Ave SUITE 101, Brownstown Township, MI 48192
National Provider ID: 1336406552
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NEUROLOGY MICHIGAN, PC

Brownstown Township, MI

Registration:
Apr 5, 2012
Addresses:
1848 Biddle Ave STE 101, Wyandotte, MI 48192 (Physical)
Michigan (Mailing)
State ID:
04481F
Business type:
Domestic Professional Service Corporation
Agent:
Girish C Mangalick

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