| NPI | 1043338171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL COURNEYA President 218-312-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-11-12 |