KENNETH MATASAR

ROYAL OAK, MI
NPI1689634461
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: MI  4301032306)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
KENNETH MATASAR
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-6067
Mailing Address
KENNETH MATASAR
3601 W 13 MILE RD 400-FSC/PCS
ROYAL OAK, MI 48073-6712
Phone number: