Organization
ADVANCED MRI IMAGING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER B FENTON DO (OWNER)
(248) 398-4488
Entity
Organization
Contact information
Practice address
27207 LAHSER RD, SUITE 101, SOUTHFIELD, MI 48034-2168
(248) 398-4488
Mailing address
4996 CHAMPLAIN CIR, W BLOOMFIELD, MI 48323-3527
(249) 398-4488
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
07/24/2008
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