Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 3, 2006
License(s)
4301042453 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 804 SERVICE ROAD ROOM A204 | East Lansing, MI 48824-7037 | 517-353-4920 |
| LOCATION | 804 SERVICE ROAD ROOM A204 | East Lansing, MI 48824-7037 | 517-353-4920 |
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