Organization · Type 2 NPI
Advanced Diagnostic Medical Imaging PC
Diagnostic Radiology Physician · Grosse Ile, MI
NPI number
1639438062
Active
Practice location
19891 Parke Ln
Grosse Ile, MI 48138-1027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 5101011021 (MI) |
| Pain Medicine Physician | 208VP0000X | 5101011021 (MI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1639438062
Advanced Diagnostic Medical Imaging PC's National Provider Identifier is 1639438062, issued on May 4, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Grosse Ile, MI. The record was last updated on Mar 1, 2013.