Organization
MCCI-MICHIGAN CENTER FOR SURGICAL SPECIALISTS
Active
Other names
X-Ray Treatment Center, PC/Michigan Comprehensive Cancer Ctr. (MCCI)
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDEH R. BAGNE PH.D., J.D. (CEO)
(248) 338-0300
Entity
Organization
Contact information
Practice address
28500 ORCHARD LAKE RD, SUITE 201, FARMINGTON HILLS, MI 48334-2936
(248) 865-2575
(248) 865-2590
Mailing address
28500 ORCHARD LAKE RD, SUITE 201, FARMINGTON HILLS, MI 48334-2936
(248) 865-2575
(248) 865-2590
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/21/2006
Last updated
08/22/2020
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