NPI:
1629394457
Provider Name:
GREAT LAKES MUSCULOSKELETAL ULTRASOUND INC.
Doing Business As: GREAT LAKES MSK US INC.
Classification:
Clinic/Center - 261QR0208X
Entity Type:
Organization
Specialization: Radiology, Mobile
Address:
6928 COLEMAN ST
DEARBORN, MI
ZIP 48126
Phone:
(313) 258-6131
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GREAT LAKES MUSCULOSKELETAL ULTRASOUND INC. is a radiology and mobile clinic center in Dearborn, MI. GREAT LAKES MUSCULOSKELETAL ULTRASOUND INC. NPI is 1629394457. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Lakes Msk Us Inc..
The provider's business location address is:
6928 COLEMAN ST
DEARBORN, MI
ZIP 48126-776
Phone: (313) 258-6131
Fax: (517) 702-2944
The provider's authorized official is Veronica Rodriguez .
The authorized official title is President and has the following contact phone number (313) 258-6131.
The enumeration date for this NPI number is 4/19/2010 and was last updated on 4/19/2010.