Individual
DALJIT BATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11475 MAPLE VALLEY DR, PLYMOUTH, MI 48170-6391
(734) 751-4954
Mailing address
11475 MAPLE VALLEY DR, PLYMOUTH, MI 48170-6391
(734) 751-4954
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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