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General NPI Number Information
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NPI Number | 1275814915
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Entity Type | Organization
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Legal Business Name | NEUROSURGERY GROUP, P.C.
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 43650 GARFIELD RD
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City | CLINTON TWP
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State | MI
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Zip | 48038-6332
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Country | US
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Telephone | 586-263-0820
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Fax | 586-263-4823
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Provider Business Mailing Address
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Address Line | 43650 GARFIELD RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-7419
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Country | US
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Telephone | 586-263-0820
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Fax | 586-263-4823
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTHA FRANKOWSKI
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Credential | M.D.
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Telephone | 586-263-0820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4301051833
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License Number State | MI
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