Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 24, 2011
License(s)
4301098857 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 2802 | Dearborn, MI 48123-2929 | 313-359-7600 |
| LOCATION | 840 OAKWOOD BLVD | Dearborn, MI 48124-2319 | 313-359-7600 |
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