NPI | 1922069400 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH J KINGSBURY Business Manager 989-797-3025 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
2085R0202X Radiology, Diagnostic Radiology | |
Enumeration Date | 2006-04-01 |
Last Update Date | 2025-09-11 |