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NPI Code Detail

MEDICARE: SPECIAL TREE NEURO CARE CENTER

MEDICARE: SPECIAL TREE NEURO CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1306443742
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIAL TREE NEURO CARE CENTER
Provider Business Mailing Address
First Line : 10909 HANNAN RD
Second Line :
City : ROMULUS
State : MI
Zip : 48174-1383
Country : US
Telephone Number : 734-893-1164
Fax Number :
Provider Business Practice Location Address
First Line : 10909 HANNAN RD
Second Line :
City : ROMULUS
State : MI
Zip : 48174-1383
Country : US
Telephone Number : 734-893-1000
Fax Number :
Authorized Official
Title or Position : MEDICAL BILLER
Name : JILL MILLER
Credential :
Telephone Number : 734-893-1157
Provider Enumeration Date : 10/08/2020
Last Update Date : 02/17/2026

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Directions to “SPECIAL TREE NEURO CARE CENTER ” Practice Location

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