Organization
BEAUMONT SPECIAL RADIOLOGICAL PROCEDURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE G. MEZWA MD (CHIEF OF RAD DEPT/PROGRAM DIRECTOR)
(248) 898-6064
Entity
Organization
Contact information
Practice address
3601 W THIRTEEN MILE RD, ROYAL OAK, MI 48073
(248) 898-6064
(248) 898-5490
Mailing address
PO BOX 64011, DETROIT, MI 48264-0001
(586) 412-4000
(586) 412-4102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
06/26/2012
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