MI NEUROSURGERY CLINIC PC
NPI 1912049099
Physician Assistant in Grand Blanc, MI

Active since February 13, 2007
3635 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-7535(810) 606-7510 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mi Neurosurgery Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MI NEUROSURGERY CLINIC PC (NPI 1912049099) is a healthcare organization registered as a physician assistant in Grand Blanc, Michigan and active in the NPI registry since February 2007. The organization lists Dawn Tartaglione, Owner, as its authorized official.

NPPES Registry Identity

NPI1912049099
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMI NEUROSURGERY CLINIC PC
Location Address3635 GENESYS PKWYGrand Blanc, MI 48439-8070
Mailing Address3495 S Center RdBurton, MI 48519-1455 · (810) 424-2007 · Fax (810) 743-1099
Fax(810) 606-7510
Organization SubpartNo
Authorized OfficialDawn TartaglioneOwner · (810) 424-2007
Enumeration DateFebruary 13, 2007
Last NPPES UpdateSeptember 20, 2007
NPI 1912049099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601004125
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3635 GENESYS PKWY, Grand Blanc, MI 48439

Other Identifiers 2

Medicare PINN90570001MI
Medicare PIN0N90570MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3635 GENESYS PKWY
GRAND BLANC, MI 48439
Neurological Surgery
3635 GENESYS PKWY
GRAND BLANC, MI 48439
Clinic/Center (Health Service)
3635 GENESYS PKWY
GRAND BLANC, MI 48439
Neurological Surgery
3635 GENESYS PKWY
GRAND BLANC, MI 48439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912049099, enumerated as an "organization" on February 13, 2007.

The provider is located at 3635 GENESYS PKWY GRAND BLANC, MI 48439 and the phone number is (810) 606-7535.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.