Individual
DR. ROLAND E GAZAILLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2799 WEST GRAND BLVD A-4 DIAGNOSTIC RADIOLOGY, HENRY FORD HEALTH SYSTEM, DETROIT, MI 48202-3450
(937) 564-3269
Mailing address
635 FAR HILLS AVE, APT #5, DAYTON, OH 45419-3852
(937) 564-3269
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34.009015
OH
Other
Enumeration date
03/31/2008
Last updated
03/29/2010
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