Organization
MICHIGAN CITY RADIOLOGISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON (ADMINISTRATOR)
(219) 872-7464
Entity
Organization
Contact information
Practice address
301 W HOMER ST, MICHIGAN CITY, IN 46360-4358
(219) 872-7464
(219) 877-1066
Mailing address
PO BOX 2010, MICHIGAN CITY, IN 46361-8010
(219) 872-7464
(219) 877-1066
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
50000203A
IN
Other
Enumeration date
05/12/2006
Last updated
09/06/2011
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