Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 19, 2018
License(s)
4301114968 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5757 PARK CENTER CT | Toledo, OH 43615-1479 | 419-474-4064 |
| MAILING | 5757 PARK CENTER CT | Toledo, OH 43615-1479 | 419-474-4064 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.