EXECUTIVE DIAGNOSTIC GROUP, PLLC is a multi-specialty clinic center in Dearborn, MI. EXECUTIVE DIAGNOSTIC GROUP, PLLC NPI is 1881955953. The provider is registered as an organization entity type.
The provider's business location address is:
1711 MONROE ST
DEARBORN, MI
ZIP 48124-914
Phone: (313) 359-9361
Fax: (313) 436-1767
The provider's authorized official is Luis C Jorge .
The authorized official title is Owner and has the following contact phone number (313) 359-9361.
The enumeration date for this NPI number is 6/5/2012 and was last updated on 9/18/2014.