| NPI | 1285912063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE HICKS Administrator 810-715-9915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301067627) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2013-03-12 |