Organization
MADISON COUNTY IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R RETRUM MD (PRESIDENT)
(765) 649-2511
Entity
Organization
Contact information
Practice address
2015 JACKSON STREET, RADIOLOGY DEPT, ANDERSON, IN 46016-4339
(765) 649-2511
Mailing address
2015 JACKSON STREET, RADIOLOGY DEPT, ANDERSON, IN 46016-4339
(765) 649-2511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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