Organization
ENVISION DIAGNOSTIC CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MUNACO MD (MANAGING MEMBER)
(248) 476-2420
Entity
Organization
Contact information
Practice address
39475 LEWIS DR STE 200, NOVI, MI 48377-2980
(248) 715-3000
Mailing address
39475 LEWIS DR STE 200, NOVI, MI 48377-2980
(248) 471-0675
(248) 254-3874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
03/12/2010
Last updated
01/25/2021
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