| NPI | 1285911156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H MILLER Owner 248-344-9110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301054286) |
| Additional Taxonomies | 202K00000X (Licence: MI 4301054286) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2019-11-05 |