Organization
CEDAR STRAITS MEDICAL ASSOCIATES PC
Active
Other names
Cedar Straits Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH J DUMAN MD (OWNER)
(734) 677-7400
Entity
Organization
Contact information
Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(800) 764-7297
(734) 677-7407
Mailing address
PO BOX 3079, ANN ARBOR, MI 48106-3079
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A710590
BCBS OF MI GROUP PIN
MI
05
—
4756620
—
MI
01
—
DD4837
PALMETTO GBA/MEDICARE RR
MI
Enumeration date
08/29/2007
Last updated
01/11/2011
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