| 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 |