Individual
XIONG VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNMT
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(586) 945-5184
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(586) 945-5184
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
037956
MI
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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