Organization
UPPER PENINSULA IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD K BOSTWICK M.D (PRESIDENT)
(906) 225-5109
Entity
Organization
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 225-5109
Mailing address
2837 US 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
(906) 226-3875
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301073668
MI
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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