MCNICHOLS XRAY CLINIC PC NPI 1013070135

NPI Information

MCNICHOLS XRAY CLINIC PC is a diagnostic radiology radiology in Warren, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MCNICHOLS XRAY CLINIC PC NPI is 1013070135. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21230 DEQUINDRE ROAD
SOUTHEAST MICHIGAN SURGICAL HOSPITAL
WARREN, MI
ZIP 48091
Phone: (586) 427-1000
Fax: (586) 759-0237

The provider's authorized official is John Anthony Dalessandro .
The authorized official title is President and has the following contact phone number (313) 881-2257.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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