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
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 4612 (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.