Organization
CLINTON DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO BOUFFARD MD (MEDICAL DIRECTOR)
(586) 226-4147
Entity
Organization
Contact information
Practice address
43475 DALCOMA DR, SUITE 120, CLINTON TOWNSHIP, MI 48038-3591
(586) 226-4147
Mailing address
43475 DALCOMA DR, SUITE 120, CLINTON TOWNSHIP, MI 48038-3591
(586) 226-4147
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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