Provider Demographics
NPI:1124338256
Name:SLEEP MEDICINE AND NEUROLOGY ASSOCIATES
Entity type:Organization
Organization Name:SLEEP MEDICINE AND NEUROLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:KEMERKO
Authorized Official - Last Name:SESI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-755-4913
Mailing Address - Street 1:2401 W GENESEE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-1779
Mailing Address - Country:US
Mailing Address - Phone:810-245-6965
Mailing Address - Fax:810-245-6980
Practice Address - Street 1:2401 W GENESEE ST
Practice Address - Street 2:SUITE C
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1779
Practice Address - Country:US
Practice Address - Phone:810-245-6965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty