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NPI Profile for ADDISON COMMUNITY PHYSICIAN SERVICES ASSOCIATION in YPSILANTI, MI.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Surgery |
208600000X | 02 | Physician/General Surgery | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1912066093 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/06/2006 | |
| Last updated | 03/11/2026 - About 3 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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ADDISON COMMUNITY PHYSICIAN SERVICES ASSOCIATION
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ADDISON COMMUNITY PHYSICIAN SERVICES ASSOCIATION