Dalcoma Pharmacopoeia, LLC
Neurological Surgery in Clinton Township, MI. Organization (NPI-2).
NPI number1174103634
StatusActive
Last updated in NPPESApr 9, 2021
Details
- NPI
- 1174103634
- Entity type
- Organization (NPI-2)
- Legal business name
- Dalcoma Pharmacopoeia, LLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2021
- Certification date
- Apr 6, 2021
- Last updated
- Apr 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – |
Practice location
43475 Dalcoma Dr Ste 150Clinton Township, MI 48038-3594
Phone 586-421-7440 · Fax 248-281-9955
Mailing address
43475 Dalcoma Dr Ste 150Clinton Township, MI 48038-3594
Phone 586-421-7440 · Fax 248-281-9955
Authorized official
Mark L Goldberger
Manager
2483206101
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