OrganizationActive
Mi Neurosurgery Clinic PC
NPI 1487796314 · Neurological Surgery Physician · Grand Blanc, MI
Provider details
- NPI number
- 1487796314
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dawn Tartaglione, Owner(810) 424-2007
- License
- 5101012775 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3635 Genesys Pkwy
Grand Blanc, MI 48439-8070
Phone: (810) 606-7535
Fax: (810) 606-7510
Street-level locationGet directions
Mailing address
3495 S Center Rd
Burton, MI 48519-1455
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2007-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.