Individual provider · NPI-1
Kenneth Dalen
Radiology, Diagnostic Radiology · Troy, MI
NPI number1851350763
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1851350763
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Dalen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2006
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 4301052664 | MI | Yes |
Practice location
44201 Dequindre RdTroy, MI 48085-1117
Phone 248-964-5190
Mailing address
3601 W 13 Mile Rd400-Fsc/Pcs
Royal Oak, MI 48073-6712
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