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1780697425
ROGER B FENTON
MADISON HEIGHTS, MI
NPI
1780697425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MI 5101006368)
Enumeration Date
2006-08-14
Last Update Date
2011-06-14
Business Address
ROGER B FENTON DO
27379 DEQUINDRE
MADISON HEIGHTS, MI 48071
Phone number: 248-398-4488
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Mailing Address
ROGER B FENTON DO
4996 CHAMPLAIN CIRCLE
WEST BLOOMFIELD, MI 48323
Phone number:
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