Organization
RADIOLOGY ASSOCIATES OF IRON MOUNTAIN P L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STUART TO MD (PRESIDENT)
(906) 776-5569
Entity
Organization
Contact information
Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 774-1313
Mailing address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 774-1313
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020079
MIDWEST HEALTH PLAN
MI
01
—
0B21023
BLUE CROSS BLUE SHIELD MI
MI
01
—
13645400
US DEPT OF LABOR WORKCOMP
MI
05
—
32880500
—
MI
01
—
561429
SELECTCARE
MI
01
—
7717
CAPE MEDICAL PLAN
MI
01
—
95436
PREFERRED ONE
MI
01
—
CF8537
RAILROAD MEDICARE
MI
01
—
XX13511
HEALTHPLUS OF MI
MI
Enumeration date
11/03/2006
Last updated
01/05/2023
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