Mecosta County Radiology, LLC
NPI #1104831783 in Big Rapids, Michigan
Provider Information
- NPI Number
- 1104831783
- Entity Type
- Organization
- Organization Name
- Mecosta County Radiology, LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Jul 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 605 OAK ST
- City
- Big Rapids
- State
- Michigan
- ZIP Code
- 49307-2048
- Phone
- (231) 592-4212
Authorized Official
- Name
- BLASE VITELLO, M.D.
- Title
- OWNER/PRESIDENT
- Phone
- (231) 592-4212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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