| NPI | 1124264338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEL CHARBONIER Supervising Physician 586-758-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| 2085D0003X Radiology Diagnostic Neuroimaging | |
| 2085N0904X Radiology Nuclear Radiology | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |