| NPI | 1922009471 |
|---|---|
| Doing Business As | MAPLE GROVE IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | KRISTEN CARLSON Credentialing 763-398-2207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-11-15 |