Northern Radiology Associates Pc

NPI 1063634509 - Radiology - 2085B0100X

NPI Details
NPI 1063634509
Enumeration Date 05/03/2007
Last Updated 05/19/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARL CARL
Position OWNER
Phone (231) 547-4024
Fax
Practice Location
14700 LAKE SHORE DRIVE
CHARLEVOIX MI, 49720, US
Phone (231) 547-4024
Fax
Business Location
1096 LACVUE
BOYNE CITY MI, 49712, US
Phone (734) 677-7400
Fax
Toxanomy
Taxonomy Code 2085B0100X
License State Michigan
License Number CH008593
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According to our database, Northern Radiology Associates Pc NPI is 1063634509, taxonomy code is 2085B0100X and license number is CH008593, license state is located at Michigan. Northern Radiology Associates Pc physically located at 14700 Lake Shore Drive, Charlevoix MI, 49720. NPI Number 1033115704 has the healthcare provider type.

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1063634509 NPI number is provided on an as is basis without warranty of any kind. 1063634509 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Radiology Associates Pc are for informational purposes only.