| NPI | 1760701387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE BURKERT Credentialing Supervisor 248-889-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-10-06 |