NPI 1215428289
Brain Rejuvination Center of America
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
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.