Organization
FRG MICHIGAN PC
Active
Organization
FRG MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM PISULA (COO)
(412) 551-0011
Entity
Organization
Contact information
Practice address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-5800
Mailing address
PO BOX 60, PITTSBURGH, PA 15230-0060
(412) 937-5726
(412) 937-5705
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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