institution
Northern Radiology Associates Pc
Body Imaging Physician in Charlevoix, Michigan
NPI 1063634509

Northern Radiology Associates Pc is a Body Imaging Physician based in Boyne City, MI and is specialized in Body Imaging. Northern Radiology Associates Pc practices in Charlevoix, MI. The NPI Number for Northern Radiology Associates Pc is 1063634509 and holds a License No. CH008593 (Michigan).

The current practice location address for Northern Radiology Associates Pc is 14700 Lake Shore Drive, Charlevoix, MI and can be reached out via phone at 231-547-4024.

Location: 14700 Lake Shore Drive, Charlevoix, MI, 49712
institution
Provider Profile Details
NPI Number
1063634509
Provider Name
Northern Radiology Associates Pc
Credential
Provider Entity Type
Organization
Address
14700 Lake Shore Drive, Charlevoix, MI, 49712
Phone Number
231-547-4024
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3151500034 01 MI BLUE CROSS
0A510270 01 MI BCBS GROUP PIN
300086775 01 MI RR MEDICARE
300086775 01 MI MEDICARE RR PIN
3450062 05 MI
institution
Provider Business Practice Location Address Details
Address
14700 Lake Shore Drive
City
State
Zip
49720
Phone Number
231-547-4024
Fax Number
person
Provider Business Mailing Address Details
Address
14700 Lake Shore Drive
City
State
Zip
49720
Phone Number
231-547-4024
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
CH008593 (Michigan)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
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