Individual provider · Type 1 NPI

Gina Fundaro, MD

Diagnostic Radiology Physician · Detroit, MI

NPI number 1275520512 Active

Practice location

4100 John R St
Detroit, MI 48201-2013

Call (313) 745-8042 Map

Fax (313) 745-2314

Mailing address

24601 Northwestern Hwy
Southfield, MI 48075-2473

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X4301074481 (MI)
Diagnostic Radiology Physician Primary 2085R0202X4301074481 (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 1275520512

Gina Fundaro, MD's National Provider Identifier is 1275520512, issued on Oct 3, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Detroit, MI. The record was last updated on Oct 7, 2020.