Organization
IMAGING CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN B RUPP MD (OWNER)
(616) 364-6700
Entity
Organization
Contact information
Practice address
605 OAK ST, BIG RAPIDS, MI 49307-2048
(616) 364-6700
(616) 364-4960
Mailing address
PO BOX 186, GRAND RAPIDS, MI 49501-0186
(616) 364-6700
(616) 364-4960
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301055664
MI
Other
Enumeration date
10/21/2008
Last updated
09/22/2010
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