Organization
MIDEAST DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH RUEFIEL (MANAGER)
(248) 237-1370
Entity
Organization
Contact information
Practice address
130 HAMPTON CIR, ROCHESTER HILLS, MI 48307-4195
(248) 237-1370
Mailing address
PO BOX 70286, ROCHESTER HILLS, MI 48307-0006
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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