institution
S. E. Michigan Diagnostic Center Pc
Specialist in Madison Heights, Michigan
NPI 1043255581

S. E. Michigan Diagnostic Center Pc is a Specialist based in Madison Heights, MI. S. E. Michigan Diagnostic Center Pc practices in Madison Heights, MI. The NPI Number for S. E. Michigan Diagnostic Center Pc is 1043255581 and holds a License No. (Michigan).

The current practice location address for S. E. Michigan Diagnostic Center Pc is 350 E 12 Mile Rd, Madison Heights, MI and can be reached out via phone at 248-545-3754 and via fax at 248-545-4027.

Location: 350 E 12 Mile Rd, Madison Heights, MI, 48071-2531
institution
Provider Profile Details
NPI Number
1043255581
Provider Name
S. E. Michigan Diagnostic Center Pc
Credential
Provider Entity Type
Organization
Address
350 E 12 Mile Rd, Madison Heights, MI, 48071-2531
Phone Number
248-545-3754
Fax Number
248-545-4027
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376540286 01 MI NPI # KACHADURIAN
1205824505 01 MI NPI # RUBIN
1346212800 01 MI NPI BORIN
1891751509 01 MI NPI KOVAN
1063490894 01 MI NPI # GOLDSTEIN
1588661391 01 MI NPI # ELKISS
1437181146 01 MI NPI # MELLEN
DE3703 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
350 E 12 Mile Rd
City
State
Zip
48071-2531
Phone Number
248-545-3754
Fax Number
248-545-4027
person
Provider Business Mailing Address Details
Address
350 E 12 Mile Rd
City
State
Zip
48071-2531
Phone Number
248-545-3754
Fax Number
248-545-4027
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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