| Downriver Neurology Pc | |
|
17515 Fort St Riverview MI 48193-6630 | |
| (734) 225-7770 | |
| Not Available |
| Full Name | Downriver Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17515 Fort St, Riverview, Michigan |
| Authorized Official Name and Position | Christopher James Whitty (PRESIDENT) |
| Authorized Official Contact | 7342257770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Downriver Neurology Pc 17515 Fort St Riverview MI 48193-6630 Ph: (734) 225-7770 | Downriver Neurology Pc 17515 Fort St Riverview MI 48193-6630 Ph: (734) 225-7770 |
| NPI Number | 1275728107 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 04/04/2011 |
| Medicare PECOS PAC ID | 3476582214 |
|---|---|
| Medicare Enrollment ID | O20050811000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275728107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301078496 (Michigan) | Primary |
| Provider Name | Christopher James Whitty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457339574 PECOS PAC ID: 5991734733 Enrollment ID: I20050812000743 |
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