Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 9, 2026
License(s)
5151018204 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 18101 OAKWOOD BLVD | Dearborn, MI 48124-4089 | 313-593-7000 |
| MAILING | 18101 OAKWOOD BLVD | Dearborn, MI 48124-4089 |
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