| NPI | 1366541138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNES BUITEWEG Owner/Physician 989-773-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-02-19 |