Organization
ADVANCED IMAGING OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER FENTON MD (DIRECTOR/CEO)
(248) 889-9282
Entity
Organization
Contact information
Practice address
7092 HIGHLAND RD PMB 205, WATERFORD, MI 48327-1502
(248) 889-9282
(248) 889-7534
Mailing address
7092 HIGHLAND RD PMB 205, WATERFORD, MI 48327-1502
(248) 889-9282
(248) 889-7534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RF006368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RF006368
MI LICENSE
—
Enumeration date
09/20/2006
Last updated
07/21/2022
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