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Gina Fundaro, MD
Diagnostic Radiology Physician in Detroit, Michigan
NPI 1275520512

Gina Fundaro is a Diagnostic Radiology Physician based in Southfield, MI and is specialized in Diagnostic Radiology. Gina Fundaro practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Gina Fundaro is 1275520512 and holds a License No. 4301074481 (Michigan).

The current practice location address for Gina Fundaro is 4100 John R St, Detroit, MI and can be reached out via phone at 313-745-8042 and via fax at 313-745-2314.

Location: 4100 John R St, Detroit, MI, 48075-2473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275520512
Provider Name
Gina Fundaro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4100 John R St, Detroit, MI, 48075-2473
Phone Number
313-745-8042
Fax Number
313-745-2314
Provider Enumeration Date
10/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7005261920 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
4100 John R St
City
Detroit
State
Michigan
Zip
48201-2013
Phone Number
313-745-8042
Fax Number
313-745-2314
person
Provider Business Mailing Address Details
Address
4100 John R St
City
Detroit
State
Michigan
Zip
48201-2013
Phone Number
313-745-8042
Fax Number
313-745-2314
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301074481 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301074481 (Michigan)
Definition
Definition to come...
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