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W. A. Foote Memorial Hospital, Inc
Vascular & Interventional Radiology Physician in Jackson, Michigan
NPI 1194245472

W. A. Foote Memorial Hospital, Inc is a Vascular & Interventional Radiology Physician based in Detroit, MI and is specialized in Vascular & Interventional Radiology. W. A. Foote Memorial Hospital, Inc practices in Jackson, MI. The NPI Number for W. A. Foote Memorial Hospital, Inc is 1194245472 and holds a License No. 106000004 (Michigan).

The current practice location address for W. A. Foote Memorial Hospital, Inc is 205 N East Ave, Jackson, MI and can be reached out via phone at 517-205-7843 and via fax at 517-205-7419.

Location: 205 N East Ave, Jackson, MI, 48264-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194245472
Provider Name
W. A. Foote Memorial Hospital, Inc
Credential
Provider Entity Type
Organization
Address
205 N East Ave, Jackson, MI, 48264-0001
Phone Number
517-205-7843
Fax Number
517-205-7419
Provider Enumeration Date
06/27/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106000004 01 MI STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
205 N East Ave
City
Jackson
State
Michigan
Zip
49201-1753
Phone Number
517-205-7843
Fax Number
517-205-7419
person
Provider Business Mailing Address Details
Address
205 N East Ave
City
Jackson
State
Michigan
Zip
49201-1753
Phone Number
517-205-7843
Fax Number
517-205-7419
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
106000004 (Michigan)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
106000004 (Michigan)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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