Individual
MONTE LANCE HARVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3990 JOHN R ST DEPT OF, DETROIT, MI 48201-2018
(313) 745-2708
Mailing address
30450 STONEGATE DR, FRANKLIN, MI 48025-1401
(248) 910-6023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301059831
MI
2085R0202X
Diagnostic Radiology Physician
4301059831
MI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301059831
MI
Other
Enumeration date
07/07/2006
Last updated
05/25/2022
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