| NPI | 1194245472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SMITH SVP 517-205-6407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MI 106000004) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: MI 106000004) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-03-06 |