Individual
BRAD KALLEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT (R)
Contact information
Practice address
38777 6 MILE RD, LIVONIA, MI 48152-2694
(734) 452-0395
(877) 414-9925
Mailing address
38777 6 MILE RD, LIVONIA, MI 48152-2694
(734) 452-0395
(877) 414-9925
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
471704
MN
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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