NPI Provider: 1346216728
Contact Name: Bagne R. Farideh
Position: CEO
Phone: (248) 338-0300
X-ray Treatment Center Information:
X-ray Treatment Center organization have npi 1346216728, taxonomy code is 2085R0001X with license number is in . This Business address located in 23337 Gratiot Ave, Eastpointe, MI 48021 Michigan.
Practice Location
Address: 23337 Gratiot Ave, Eastpointe, MI 48021
Phone: (586) 776-4820
Business Location
Address: 23337 Gratiot Ave, Eastpointe, MI 48021
Phone: (586) 776-4820
Fax: (586) 777-3239
Taxonomy
Taxonomy Code: 2085R0001X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 2/27/2006
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