Organization
SILVER PINE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE BURKERT (CREDENTIALING MANAGER)
(248) 889-4580
Entity
Organization
Contact information
Practice address
20475 W 10 MILE RD, SOUTHFIELD, MI 48075-6105
(248) 595-0505
(248) 595-0600
Mailing address
20475 W 10 MILE RD, SOUTHFIELD, MI 48075-6105
(248) 595-0505
(248) 595-0600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
02/23/2011
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