Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Michigan Neurosurgical Institute, PC

Organization Neurological Surgery Physician · NPI 1336184571

Michigan Neurosurgical Institute, PC provides Neurological Surgery Physician services in Grand Blanc, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9400 S Saginaw Rd Ste A
Grand Blanc, MI 48439-9666
Phone: (810) 606-7200
Fax: (810) 606-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence AJ076974 (MI)

Record details

NPI number1336184571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Avery Jackson — President · (810) 606-7200
NPI enumeratedJune 19, 2006
Last updated in NPPESJuly 28, 2023
Certification dateJuly 27, 2023
Mailing address9400 S Saginaw Rd Ste A, Grand Blanc, MI 48439-9666

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