MEDICARE: ASHLEY MISSIG

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
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1780513234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MISSIG

Provider Business Mailing Address
First Line	:	43422 W OAKS DR STE 191
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-3300
Country	:	US
Telephone Number	:	866-766-3783
Fax Number	:	248-254-6524

Provider Business Practice Location Address
First Line	:	43422 W OAKS DR STE 191
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-3300
Country	:	US
Telephone Number	:	866-766-3783
Fax Number	:	248-254-6524

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ ASHLEY MISSIG ” Practice Location

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