| NPI | 1154419430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C LUTSIC Owner 734-522-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 5101008299) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |