Organization
ULTRA DIAGNOSTIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY A SHEVITZ MD (MEDICAL DIRECTOR)
(313) 258-4855
Entity
Organization
Contact information
Practice address
29600 NORTHWESTERN HWY, SUITE 106, SOUTHFIELD, MI 48034-1016
(313) 258-4855
(248) 671-5185
Mailing address
29600 NORTHWESTERN HIGHWAY, SUITE 106, SOUTHFIELD, MI 48034-1376
(313) 258-4855
(248) 671-5185
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
4301028752
MI
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
12/20/2011
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