Organization
TRI-STATE MEDICAL IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A KINZER M.D. (DIRECTOR/OWNER)
(260) 471-9466
Entity
Organization
Contact information
Practice address
3250 INTERTECH PARKWAY, SUITE D, ANGOLA, IN 46703-7223
(260) 665-3200
Mailing address
PO BOX 5602, FORT WAYNE, IN 46895-5602
(260) 471-9466
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
09/29/2010
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