| NPI | 1114387529 |
|---|---|
| Former Legal Business Name | PJ NOSS LLC |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS J NOSS Owner 218-310-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2022-07-21 |