| NPI | 1932404811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY WALLER Owner 586-286-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MI 128024) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |