| NPI | 1013119817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 830190) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2024-03-14 |