Organization
ADVANCED DIAGNOSTIC MEDICAL IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLIE GALOVICH CPC (BILLER)
(248) 593-9780
Entity
Organization
Contact information
Practice address
19891 PARKE LN, GROSSE ILE, MI 48138-1027
(734) 671-6677
Mailing address
19891 PARKE LN, GROSSE ILE, MI 48138-1027
(734) 671-6677
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101011021
MI
208VP0000X
Pain Medicine Physician
5101011021
MI
Other
Enumeration date
05/04/2012
Last updated
03/01/2013
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