Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 19, 2026
License(s)
4351056147 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3601 W 13 MILE RD | Royal Oak, MI 48073-6712 | 248-898-5000 |
| MAILING | 3601 W 13 MILE RD | Royal Oak, MI 48073-6712 | 248-898-5000 |
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