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SJMH MEDICAL PRACTICE NPI 1720180169


NPI Information

NPI: 1720180169
Provider Name: SJMH MEDICAL PRACTICE
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
44405 WOODWARD AVE
PONTIAC, MI
ZIP 48341
Phone: (248) 858-3991
Get Directions

SJMH MEDICAL PRACTICE is a neurology psychiatry neurology in Pontiac, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SJMH MEDICAL PRACTICE NPI is 1720180169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

44405 WOODWARD AVE
PONTIAC, MI
ZIP 48341-023
Phone: (248) 858-3991
Fax: (248) 858-6232

The provider's authorized official is Jack Weiner .
The authorized official title is Ceo and has the following contact phone number (248) 858-3140.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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