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Organization
SOUTHWEST MICHIGAN RADIOLOGY, PLLC
Active
Organization
SOUTHWEST MICHIGAN RADIOLOGY, PLLC
Active
Parent organization
SOUTHWEST MICHIGAN RADIOLOGY, PLLC
Other names
Clarity Screening Mammography
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MICHIGAN RADIOLOGY, PLLC
Authorized official
DENNIS BRUCE MD (PRESIDENT)
(616) 548-5687
Entity
Organization
Contact information
Practice address
3700 RIVERTOWN PKWY SW, SUITE 1002, GRANDVILLE, MI 49418-3085
(616) 548-5687
(616) 931-5686
Mailing address
3700 RIVERTOWN PKWY SW, SUITE 1002, GRANDVILLE, MI 49418-3085
(616) 548-5687
(616) 931-5686
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
MI
261QR0206X
Mammography Clinic/Center
Primary
—
MI
Other
Enumeration date
05/26/2015
Last updated
05/27/2015
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