Maplewood Imaging Center LLC
NPI #1164604146 in Maplewood, Minnesota
Provider Information
- NPI Number
- 1164604146
- Entity Type
- Organization
- Organization Name
- Maplewood Imaging Center LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Nov 30, 2007
- Last Updated
- Feb 2, 2022
Practice Location
Authorized Official
- Name
- SEE YANG
- Title
- CREDENTIALING MANAGER
- Phone
- (651) 292-2013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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| DR. Tore Detlie, M.D. | |
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Organizations
| Provider Name | |
|---|---|
| Minnesota Medical Scanning Corporation |
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