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MARQUETTE RADIOLOGY ASSOCIATES PC NPI 1174606891


NPI Information

NPI: 1174606891
Provider Name: MARQUETTE RADIOLOGY ASSOCIATES PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1414 W FAIR AVE
SUITE 122
MARQUETTE, MI
ZIP 49855
Phone: (906) 225-3945
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MARQUETTE RADIOLOGY ASSOCIATES PC is a specialist in Marquette, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARQUETTE RADIOLOGY ASSOCIATES PC NPI is 1174606891. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1414 W FAIR AVE
SUITE 122
MARQUETTE, MI
ZIP 49855-675
Phone: (906) 225-3945
Fax: (906) 225-3355

The provider's authorized official is Michael G Altmann .
The authorized official title is President/radiologist and has the following contact phone number (909) 225-3945.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 6/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist4301044000MICHIGANNo
2174400000XSpecialist4301073668MICHIGANNo
3174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E26001011MEDICARE PIN
22766233MEDICAIDMICHIGAN
30E26001MEDICARE PIN
4E26001005MEDICARE PIN
54935952MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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