Northstar Radiology Corporation PA

NPI #1487787016 in Plymouth, Minnesota

Provider Information

NPI Number: 1487787016
Entity Type: Organization
Organization Name: Northstar Radiology Corporation PA
Primary Specialty: Specialist
Enumeration Date: Mar 13, 2007
Last Updated: Dec 12, 2007

Practice Location

Address: 36 NATHAN LANE N
City: Plymouth
State: Minnesota
ZIP Code: 55441
Phone: (612) 437-1191

Authorized Official

Name: WILLIAM J FORD III, MD
Title: PRESIDENT
Phone: (612) 437-1191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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