Genesis MD Diagnostic Imaging PC

NPI #1336704311 in Dearborn Heights, Michigan

Provider Information

NPI Number
1336704311
Entity Type
Organization
Organization Name
Genesis MD Diagnostic Imaging PC
Primary Specialty
Clinic/Center - Radiology, Mobile
Enumeration Date
May 6, 2019
Last Updated
May 6, 2019

Practice Location

Address
8560 N SILVERY LN STE 101
ZIP Code
48127-4516
Phone
(313) 581-3255

Authorized Official

Name
DR. EDRICK FERGUSON, M.D.
Title
OWNER
Phone
(313) 581-3255

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Radiology, MobileRadiology, Mobile

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