NPI 1407347743
Neuro Edx, LLC
Practice location
- Address
- 29488 Woodward Avenue Suite 429, Royal Oak, MI 48073
- Phone
- (678) 780-6242
- Fax
- (877) 711-7411
- Mailing address
- 7270 Matt Hwy STE 502-125, Cumming, GA 30028
Authorised official
- Name
- George Petryk
- Title
- Manager
- Phone
- (678) 780-6242
Registered specialties
Electrodiagnostic Medicine Physician
Primary
Registry record
- NPI
- 1407347743
- Entity type
- Organization
- NPI issued
- 22 May 2018
- Record last updated
- 5 Feb 2024
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.