| Midwest Neuromonitoring Associates, Pllc | |
|
1859 Marie Cir Bloomfield MI 48302-0748 | |
| (888) 464-2466 | |
| Not Available |
| Full Name | Midwest Neuromonitoring Associates, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1859 Marie Cir, Bloomfield, Michigan |
| Authorized Official Name and Position | Karen Wescott (SR INS CONTRACTING SPECIALIST) |
| Authorized Official Contact | 8884642466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Neuromonitoring Associates, Pllc 10275 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3445 Ph: (888) 464-2466 | Midwest Neuromonitoring Associates, Pllc 1859 Marie Cir Bloomfield MI 48302-0748 Ph: (888) 464-2466 |
| NPI Number | 1598066730 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Medicare PECOS PAC ID | 4082803457 |
|---|---|
| Medicare Enrollment ID | O20110117000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598066730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Anne M Guyot |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346350311 PECOS PAC ID: 8820089584 Enrollment ID: I20040520001299 |
| Provider Name | Asim Haque |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710202650 PECOS PAC ID: 1951621200 Enrollment ID: I20150528000147 |
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