Healthcare Provider Details

I. General information

NPI: 1942600614
Provider Name (Legal Business Name): AUBURN NEUROLOGY AND SLEEP ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 12/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46813 GARFIELD RD
MACOMB MI
48044-5225
US

IV. Provider business mailing address

46813 GARFIELD RD
MACOMB MI
48044-5225
US

V. Phone/Fax

Practice location:
  • Phone: 586-580-2259
  • Fax: 586-580-2267
Mailing address:
  • Phone: 586-580-2259
  • Fax: 586-580-2267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberTM067838
License Number StateMI

VIII. Authorized Official

Name: DR. TRACEY MORSON
Title or Position: CEO
Credential: MD
Phone: 313-574-4035