Organization
EXCALIBUR MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUTHUR J. GREENE M.D. (PRESIDENT/OWNER)
(906) 225-3540
Entity
Organization
Contact information
Practice address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2711
(906) 225-3540
Mailing address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2711
(906) 225-3540
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310E211120
BCBS OF MICHIGAN
MI
Enumeration date
03/20/2008
Last updated
06/05/2008
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