institution
Henry Ford Shaped Beam Surgery, Llc
Radiology Clinic/Center in Detroit, Michigan
NPI 1770635773

Henry Ford Shaped Beam Surgery, Llc is a Radiology Clinic/Center based in Detroit, MI and is specialized in Radiology. Henry Ford Shaped Beam Surgery, Llc practices in Detroit, MI. The NPI Number for Henry Ford Shaped Beam Surgery, Llc is 1770635773 and holds a License No. (Michigan).

The current practice location address for Henry Ford Shaped Beam Surgery, Llc is 2799 W Grand Blvd # M216, Detroit, MI and can be reached out via phone at 313-916-1078 and via fax at 313-916-3235.

Location: 2799 W Grand Blvd # M216, Detroit, MI, 48202
institution
Provider Profile Details
NPI Number
1770635773
Provider Name
Henry Ford Shaped Beam Surgery, Llc
Credential
Provider Entity Type
Organization
Address
2799 W Grand Blvd # M216, Detroit, MI, 48202
Phone Number
313-916-1078
Fax Number
313-916-3235
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0H21883 01 MI BLUE CROSS
514930 01 MI HAP
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd # M216
City
State
Zip
48202-2608
Phone Number
313-916-1078
Fax Number
313-916-3235
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd # M216
City
State
Zip
48202-2608
Phone Number
313-916-1078
Fax Number
313-916-3235
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
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Definition
Definition to come...
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