Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 19, 2018
License(s)
4301114655 (MI), 3013697 (MA), 4301114655 (MI), 4301511631 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2799 W GRAND BLVD | Detroit, MI 48202-2608 | 313-916-2600 |
| LOCATION | 2799 W GRAND BLVD | Detroit, MI 48202-2608 | 313-916-2600 |
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