Organization · Type 2 NPI
Henry Ford Shaped Beam Surgery, LLC
Radiology Clinic/Center · Detroit, MI
NPI number
1770635773
Active
Practice location
2799 W Grand Blvd # M216
Detroit, MI 48202-2608
Fax (313) 916-3235
Mailing address
2799 W Grand Blvd. #M216
Detroit, MI 48202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
Other radiology clinic/center providers in Detroit
About NPI 1770635773
Henry Ford Shaped Beam Surgery, LLC's National Provider Identifier is 1770635773, issued on Jan 18, 2007. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Detroit, MI. The record was last updated on Aug 22, 2020.