MI NEUROSURGERY CLINIC PC – Neurological Surgery Physician, NPI 1114052628

MI NEUROSURGERY CLINIC PC is a healthcare provider. based in Grand blanc, Michigan. specializing in Neurological Surgery Physician. The organization holds a License No. 5101012775 (MI). The NPI Number for MI NEUROSURGERY CLINIC PC is 1114052628

Main info

Organization
Name
MI NEUROSURGERY CLINIC PC
NPI
1114052628
Phone
(810) 606-7535
Address
3635 GENESYS PKWY
Authorized Official
DAWN TARTAGLIONE OWNER DO
Enumeration Date
23 February 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MI NEUROSURGERY CLINIC PC

  • 3635 GENESYS PKWY

    GRAND BLANC, MI 484398070

    Phone: (810) 606-7535

    Fax: (810) 606-7510

    Type: Location

  • 3495 S CENTER RD

    BURTON, MI 485191455

    Phone: (810) 424-2007

    Fax: (810) 743-1099

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48439)

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Reviews

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Frequently asked questions

What number should I use to identify MI NEUROSURGERY CLINIC PC for billing?
Administrative and clinical systems typically use NPI 1114052628 for MI NEUROSURGERY CLINIC PC.
Quick check: is MI NEUROSURGERY CLINIC PC active?
Public NPPES data shows MI NEUROSURGERY CLINIC PC with an active NPI status right now.
What does the directory say MI NEUROSURGERY CLINIC PC does?
Insurance directories may phrase it differently, but here MI NEUROSURGERY CLINIC PC maps to Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MI NEUROSURGERY CLINIC PC?
MI NEUROSURGERY CLINIC PC is associated with Grand Blanc, Michigan in the same public data insurers reference.
Can I export MI NEUROSURGERY CLINIC PC's record?
You can download the official NPPES record; we summarize key fields for readability.

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