OrganizationActive
Neuro Edx, LLC
NPI 1407347743 · Electrodiagnostic Medicine Physician · Royal Oak, MI
Provider details
- NPI number
- 1407347743
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Petryk, Manager(678) 780-6242
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
29488 Woodward Avenue
Suite 429
Royal Oak, MI 48073
Phone: (678) 780-6242
Fax: (877) 711-7411
Approximate (ZIP-level) locationGet directions
Mailing address
7270 Matt Hwy Ste 502-125
Cumming, GA 30028
Registry dates
- Enumerated
- 2018-05-22
- Last updated
- 2024-02-05
- Certified
- 2022-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.