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1063481521
KOSTAKI BIS
ROYAL OAK, MI
NPI
1063481521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 4301406933)
Enumeration Date
2006-03-16
Last Update Date
2022-10-05
Business Address
KOSTAKI BIS
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-6064
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Mailing Address
KOSTAKI BIS
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 248-577-9221
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