| NPI | 1922265941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M RUCKER Enrollment & Patient Accts Manager 517-355-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2018-04-05 |