Whalio Doctors

NPI 1215428289

Brain Rejuvination Center of America

Organisation Behavioral Neurology & Neuropsychiatry Physician Grand Blanc, MI

Practice location

Address
8332 Office Park Dr, Grand Blanc, MI 48439
Phone
(810) 691-4816
Mailing address
12023 Riverbend Dr, Grand Blanc, MI 48439-1723

Authorised official

Name
Pagi Legrow
Title
Partner
Phone
(810) 691-4816

Registered specialties

Behavioral Neurology & Neuropsychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084B0040X

Registry record

NPI
1215428289
Entity type
Organization
NPI issued
24 May 2018
Record last updated
21 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.