Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Mar 26, 2019
License(s)
2023048939 (MO), 4301514669 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3621 S STATE ST | Ann Arbor, MI 48108-1633 | 734-647-5299 |
| LOCATION | 1500 E MEDICAL CENTER DR | Ann Arbor, MI 48109-5000 | 734-936-4000 |
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