| NPI | 1508942681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 313-874-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 830190) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-08-23 |