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Organization

MICHIGAN RADIOLOGY CONSULTANTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYLE S. MINDLIN D.O. (PRESIDENT)
(989) 772-6734
Entity
Organization

Contact information

Practice address
1221 SOUTH DR, MOUNT PLEASANT, MI 48858-3258
(989) 772-6734
(989) 772-6770
Mailing address
PO BOX 1108, ATTN: LYNDA THOMPSON, ANN ARBOR, MI 48106-1108
(734) 677-7400
(734) 677-7407

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC7886
RR MEDICARE
MI
Enumeration date
07/30/2006
Last updated
08/22/2020
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