Organization
MID MICHIGAN IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE HICKS (ADMINISTRATOR)
(810) 715-9915
Entity
Organization
Contact information
Practice address
8273 S SAGINAW ST STE D, GRAND BLANC, MI 48439-2465
(810) 606-0656
(810) 606-0662
Mailing address
2370 S LINDEN RD STE 300A, FLINT, MI 48532-5429
(810) 715-9915
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301067627
MI
Other
Enumeration date
07/28/2011
Last updated
03/12/2013
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