| NPI | 1740591395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H MILLER Owner 248-344-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301054286) |
| Additional Taxonomies | 202K00000X (Licence: MI 4301054286) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301054286) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |