Organization
MCNICHOLS XRAY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANTHONY DALESSANDRO DO (PRESIDENT)
(313) 881-2257
Entity
Organization
Contact information
Practice address
21230 DEQUINDRE ROAD, SOUTHEAST MICHIGAN SURGICAL HOSPITAL, WARREN, MI 48091
(586) 427-1000
(586) 759-0237
Mailing address
PO BOX 1123, ANESTHESIA BUSINESS CONSULTANTS LLC 774 W MICHIGAN AVE, JACKSON, MI 49204-9923
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4612
MI
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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