MICHIGAN MRT HOLDINGS LLC NPI 1689465312

NPI Information

  • NPI: 1689465312
  • Provider Name: MICHIGAN MRT HOLDINGS, LLC
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • :
  • Address: 2175 COOLIDGE RD
    EAST LANSING, MI
    ZIP 48823
  • Phone: (517) 999-5900

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NPI Details

MICHIGAN MRT HOLDINGS, LLC is a radiation oncology radiology in East Lansing, MI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. MICHIGAN MRT HOLDINGS, LLC NPI is 1689465312. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2175 COOLIDGE RD
EAST LANSING, MI
ZIP 48823-379
Phone: (517) 999-5900
Fax: (517) 999-5901

The provider's authorized official is Stuart Genschaw .
The authorized official title is Chief Executive Officer and has the following contact phone number (616) 291-6048.

The enumeration date for this NPI number is 5/13/2025 and was last updated on 8/27/2025.

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
1261QX0203XClinic/CenterOncology, RadiationNo
22085R0001XRadiologyRadiation OncologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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