| NPI | 1649235615 |
|---|---|
| Other Name | RADIOLOGY/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Supervisor, Enrollment 248-680-8212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-06-28 |