Organization
MIDWEST DIAGNOSTIC IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M SONDERGELD (PRESIDENT)
(248) 681-2000
Entity
Organization
Contact information
Practice address
5463 ELIZABETH LAKE RD, WATERFORD, MI 48327-2752
(248) 681-2000
(248) 681-7319
Mailing address
5463 ELIZABETH LAKE RD, WATERFORD, MI 48327-2752
(248) 681-2000
(248) 681-7319
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
07/12/2007
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