Organization
MARQUETTE RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G ALTMANN M.D. (PRESIDENT/RADIOLOGIST)
(909) 225-3945
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE 122, MARQUETTE, MI 49855-2675
(906) 225-3945
(906) 225-3355
Mailing address
1414 W FAIR AVE, SUITE 122, MARQUETTE, MI 49855-2675
(906) 225-3945
(906) 225-3355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301044000
MI
174400000X
Specialist
4301073668
MI
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2766233
—
MI
05
—
4935952
—
MI
Enumeration date
10/24/2006
Last updated
06/07/2010
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