Organization
NORTHERN RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T SUNDAY M.D. (OWNER/PRESIDENT)
(231) 627-1257
Entity
Organization
Contact information
Practice address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-1257
(231) 627-1530
Mailing address
4420 VARSITY DR, ANN ARBOR, MI 48108-2233
(734) 677-7400
(734) 677-7407
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300A660020
BCBS/BCN
MI
01
—
CJ7539
RR MEDICARE
MI
Enumeration date
07/30/2006
Last updated
09/23/2008
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