Organization
RADIOLOGY ASSOCIATES OF BERRIEN COUNTY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DEWIND MD (PRESIDENT)
(269) 982-4104
Entity
Organization
Contact information
Practice address
1234 NAPIER AVENUE, ST JOSEPH, MI 49085
(269) 983-8300
(269) 983-6965
Mailing address
416 STATE ST, SAINT JOSEPH, MI 49085-2297
(269) 982-4104
(269) 982-4123
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300A17602
BCBS OF MICHIGAN
—
Enumeration date
07/12/2006
Last updated
08/11/2010
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