Organization
MCNICHOLS X-RAY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D'ALESSANDR (AUTHORIZED OFFICIAL)
(810) 489-7104
Entity
Organization
Contact information
Practice address
70 TONNACOUR PL, GROSSE POINTE FARMS, MI 48236-3033
(810) 489-7104
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
05/18/2009
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