Miro-clarkston

NPI 1134194509 - Radiology - 2085R0001X

NPI Details
NPI 1134194509
Enumeration Date 02/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FARIDEH R. FARIDEH
Position CEO
Phone (248) 625-0300
Fax (248) 625-0363
Practice Location
6770 DIXIE HWY
SUITE 106
CLARKSTON MI, 48346-2087, US
Phone (248) 625-0300
Fax (248) 625-0363
Business Location
70 FULTON ST
PONTIAC MI, 48341-2755, US
Phone (248) 338-0300
Fax (248) 338-0663
Toxanomy
Taxonomy Code 2085R0001X
License State
License Number
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According to our database, Miro-clarkston NPI is 1134194509, taxonomy code is 2085R0001X Miro-clarkston physically located at 6770 Dixie Hwy, Clarkston MI, 48346-2087. NPI Number 1033115704 has the healthcare provider type.

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1134194509 NPI number is provided on an as is basis without warranty of any kind. 1134194509 is maintained by the National Plan & Provider Enumeration System. The contents of Miro-clarkston are for informational purposes only.