Organization
MICHIGAN RADIATION NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID FATA MD (OWNER)
(248) 844-5690
Entity
Organization
Contact information
Practice address
1901 STAR BATT DR, SUITE 200, ROCHESTER HILLS, MI 48309-3712
(248) 844-5690
Mailing address
1901 STAR BATT DR, SUITE 200, ROCHESTER HILLS, MI 48309-3712
(248) 844-5690
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301072629
MI
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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