NPI 1164601035

Gi Diagnostic Center Waterford

Organisation Specialist Waterford, MI

Practice location

Address: 4000 Highland Rd Suite 100, Waterford, MI 48328-2167
Phone: (248) 682-4900
Fax: (248) 682-4909

Authorised official

Name: Safiul Hasan
Title: Owner
Phone: (248) 682-4900

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1164601035
Entity type: Organization
NPI issued: 29 Oct 2007
Record last updated: 17 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.