Doctor Name: | DR. STEPHEN EARL BOODIN |
NPI Number: | 1093799702 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 032164 |
Business Practice Address: | 909 W Maple Rd Suite 104 Clawson, MI - 480171000 |
Business Phone Number: | 2482883200 |
Business Fax Number: | 2482880530 |
Mailing Address: | 909 W Maple Rd, Suite 104 CLAWSON |
State: | MI |
Postal Code: | 480171000 |
Phone Number: | 2482883200 |
Fax Number: | 2482880530 |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207T00000X |
License Number: | 032164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neurological Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: | A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |