| NPI | 1891747614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RUCKER Enrollment & Patient Accts Manager 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: MI 4301023246) | |
| 2085N0700X Radiology, Neuroradiology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301040697) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-04-05 |