Diagnostic Imaging of West Branch PC
NPI #1477515278 in West Branch, Michigan
Provider Information
- NPI Number
- 1477515278
- Entity Type
- Organization
- Organization Name
- Diagnostic Imaging of West Branch PC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Apr 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2463 S M-30
- Address 2
- 335 E HOUGHTON AVE
- City
- West Branch
- State
- Michigan
- ZIP Code
- 48661
- Phone
- (989) 343-3141
Authorized Official
- Name
- MRS. MARY J WACKERLE
- Title
- BUSINESS MANAGER
- Phone
- (989) 893-6573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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