Organization
NORTH WOODWARD CAPSULE IMAGING, LLC
Active
Organization
NORTH WOODWARD CAPSULE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA MARIA MATHIS (OFFICE MANAGER)
(248) 351-0552
Entity
Organization
Contact information
Practice address
26771 W 12 MILE RD, STE 106, SOUTHFIELD, MI 48034-1539
(248) 351-0552
(248) 746-9588
Mailing address
26771 W 12 MILE RD, STE 106, SOUTHFIELD, MI 48034-1539
(248) 351-0552
(248) 746-9588
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301038180
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2733386
—
MI
Enumeration date
08/17/2006
Last updated
08/22/2020
Update your record
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