Organization
FIRELANDS RADIOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHAEL J FRISCH (BUSINESS MANAGER)
(419) 668-3349
Entity
Organization
Contact information
Practice address
54 EXECUTIVE DR, NORWALK, OH 44857-9566
(418) 668-3349
(419) 663-6541
Mailing address
54 EXECUTIVE DR, NORWALK, OH 44857-9566
(418) 668-3349
(419) 663-6541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517266
—
OH
01
—
CF4994
RR MEDICARE
OH
Enumeration date
10/19/2006
Last updated
04/20/2008
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