Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 22, 2020
License(s)
V7796 (TX), 5151014289 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3601 W 13 MILE RD | Royal Oak, MI 48073-6712 | 248-898-5000 |
| LOCATION | 3601 W 13 MILE RD | Royal Oak, MI 48073-6712 | 248-898-5000 |
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