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Organization

SAGINAW VALLEY MEDICAL IMAGING

Active
Parent organization
SAGINAW VALLEY NEUROSURGERY PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAGINAW VALLEY NEUROSURGERY PLLC
Authorized official
DR. GERALD R SCHELL MD (PRESIDENT)
(989) 799-8712
Entity
Organization

Contact information

Practice address
4200 FASHION SQUARE BLVD, SUITE 1, SAGINAW, MI 48603-1375
(989) 797-3000
(989) 799-6459
Mailing address
4677 TOWNE CENTRE RD, SUITE 301, SAGINAW, MI 48604-2846
(989) 799-8712
(989) 791-1152

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
4301407494
MI
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
4301407494
MI
2085N0700X
Neuroradiology Physician
4301407494
MI
2085N0904X
Nuclear Radiology Physician
4301407494
MI
2085P0229X
Pediatric Radiology Physician
4301407494
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301407494
MI
2085R0203X
Therapeutic Radiology Physician
4301407494
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301407494
MI
2085U0001X
Diagnostic Ultrasound Physician
4301407494
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710086160
MI
Enumeration date
05/16/2012
Last updated
05/16/2012
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