Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 24, 2008
License(s)
4301092112 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2799 W GRAND BLVD | Detroit, MI 48202-2608 | |
| LOCATION | 2799 W GRAND BLVD | Detroit, MI 48202-2608 | 313-916-1384 |
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