Mcnichols X-Ray Clinic PC

NPI #1336175660 in Grosse Pointe Farms, Michigan

Provider Information

NPI Number: 1336175660
Entity Type: Organization
Organization Name: Mcnichols X-Ray Clinic PC
Primary Specialty: Anesthesiology
Enumeration Date: Jun 26, 2006
Last Updated: May 18, 2009

Practice Location

Address: 70 TONNACOUR PL
City: Grosse Pointe Farms
State: Michigan
ZIP Code: 48236-3033
Phone: (810) 489-7104

Authorized Official

Name: JOHN D'ALESSANDR
Title: AUTHORIZED OFFICIAL
Phone: (810) 489-7104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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