Ultra Diagnostic Services Pc

NPI 1487955845 - Nuclear Medicine - 207U00000X

NPI Details
NPI 1487955845
Enumeration Date 11/16/2010
Last Updated 12/20/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HENRY A HENRY
Position MEDICAL DIRECTOR
Phone (313) 258-4855
Fax (248) 671-5185
Practice Location
29600 NORTHWESTERN HWY
SUITE 106
SOUTHFIELD MI, 48034-1016, US
Phone (313) 258-4855
Fax (248) 671-5185
Business Location
29600 NORTHWESTERN HIGHWAY
SUITE 106
SOUTHFIELD MI, 48034-1376, US
Phone (313) 258-4855
Fax (248) 671-5185
Toxanomy
Taxonomy Code 207U00000X
License State Michigan
License Number 4301028752
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According to our database, Ultra Diagnostic Services Pc NPI is 1487955845, taxonomy code is 207U00000X and license number is 4301028752, license state is located at Michigan. Ultra Diagnostic Services Pc physically located at 29600 Northwestern Hwy, Southfield MI, 48034-1016. NPI Number 1033115704 has the healthcare provider type.

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1487955845 NPI number is provided on an as is basis without warranty of any kind. 1487955845 is maintained by the National Plan & Provider Enumeration System. The contents of Ultra Diagnostic Services Pc are for informational purposes only.