| NPI | 1285965079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS NOSS Owner 218-312-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 44231) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-05-04 |