Organization
ECHOCARDIOGRAPHY ON WHEELS, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MARIE FAULKNOR AAS (CARDIAC SONOGRAPHER)
(231) 459-8915
Entity
Organization
Contact information
Practice address
120 WATER ST, BOYNE CITY, MI 49712
(231) 303-3950
(231) 344-5953
Mailing address
120 WATER ST, BOYNE CITY, MI 49712-1696
(231) 303-3950
(231) 344-5953
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
07/07/2018
Last updated
08/09/2018
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