Organization
TEOMAR IMAGING
Active
Other names
Iron Mountain Vein
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA DIPONIO MD (PRESIDENT)
(855) 834-6292
Entity
Organization
Contact information
Practice address
1115 S HEMLOCK ST, SUITE 3, IRON MOUNTAIN, MI 49801-3800
(855) 834-6292
Mailing address
PO BOX 767, IRON MOUNTAIN, MI 49801-0767
(855) 834-6292
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301076417
MI
Other
Enumeration date
01/08/2014
Last updated
01/22/2014
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