Organization
MICHIGAN RADIATION MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FIREMAN MD (OWNER)
(989) 463-9300
Entity
Organization
Contact information
Practice address
315 E WARWICK DR, STE C, ALMA, MI 48801-1083
(989) 463-9300
(989) 463-9305
Mailing address
4440 GLADDING CT, MIDLAND, MI 48640-3320
(989) 486-3522
(989) 463-9305
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301067042
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376517987
TYPE 1 NPI
MI
Enumeration date
05/15/2014
Last updated
05/15/2014
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