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General NPI Number Information
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NPI Number | 1578471447
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Entity Type | Organization
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Legal Business Name | BRAIN AND SPINE SPECIALISTS OF MICHIGAN PLLC
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 6255 INKSTER RD STE 102
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City | GARDEN CITY
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State | MI
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Zip | 48135-2538
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Country | US
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Telephone | 248-275-1144
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Fax |
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Provider Business Mailing Address
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Address Line | 1131 SILVER CREEK CT
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City | ROCHESTER
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State | MI
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Zip | 48306-4284
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAN YS
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Credential |
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Telephone | 248-860-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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