Organization · Type 2 NPI

McNichols Xray Clinic PC

Diagnostic Radiology Physician · Warren, MI

NPI number 1013070135 Active

Practice location

21230 Dequindre Road, Southeast Michigan Surgical Hospital
Warren, MI 48091

Fax (586) 759-0237

Mailing address

PO Box 1123, Anesthesia Business Consultants Llc 774 W Michigan Ave
Jackson, MI 49204-9923

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4612 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1013070135

McNichols Xray Clinic PC's National Provider Identifier is 1013070135, issued on Dec 19, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Warren, MI. The record was last updated on Aug 22, 2020.