| NPI | 1144543562 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANTHONY MUNACO Managing Member 248-476-2420 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2010-03-12 | 
| Last Update Date | 2021-01-25 |