| NPI | 1881651529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY ALAN MUDGE M.D. 269-245-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301057699) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-10-02 |