Organization
X-RAY TREATMENT CENTER, P.C.
Active
Other names
Michigan Comprehensive Cancer Institute (MCCI)
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDEH R. BAGNE PH.D., J.D. (CEO)
(248) 338-0300
Entity
Organization
Contact information
Practice address
17435 HALL RD, MACOMB, MI 48044-4061
(586) 228-0299
(586) 228-5918
Mailing address
17435 HALL RD, MACOMB, MI 48044-4061
(586) 228-0299
(586) 228-5918
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/20/2006
Last updated
09/11/2025
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