Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southfield Neurological Assoc PC

Organization Specialist · NPI 1770794737

Southfield Neurological Assoc PC provides Specialist services in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

22250 Providence Dr Ste 402
Southfield, MI 48075-4825 Not confirmed with CMS for 16 years — call before visiting
Phone: (248) 559-3150
Fax: (248) 559-8218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence BK027608 (MI)

Record details

NPI number1770794737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Kole — President · (248) 559-3150
NPI enumeratedMay 24, 2007
Last updated in NPPESJune 18, 2010
Mailing address22250 Providence Dr, Suite 402, Southfield, MI 48075-4825

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