Organization
OSTEOPOROSIS TESTING CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY PLASKO (VP)
(248) 827-1110
Entity
Organization
Contact information
Practice address
26206 W 12 MILE ROAD, STE 103, SOUTHFIELD, MI 48034
(248) 827-1110
(248) 827-1119
Mailing address
26206 W 12 MILE ROAD, STE 103, SOUTHFIELD, MI 48034
(248) 827-1110
(248) 827-1119
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F371520
BCBS
—
Enumeration date
12/12/2006
Last updated
05/19/2008
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