Organization
MID-MICHIGAN RADIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHANNES BUITEWEG MD (PRESIDENT)
(989) 773-2018
Entity
Organization
Contact information
Practice address
300 WARWICK, ALMA, MI 48801-1014
(989) 466-3342
(989) 466-7250
Mailing address
PO BOX 30516, DEPT 6086, LANSING, MI 48909-8016
(989) 466-3342
(989) 466-7250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300B960080
BCBS OF MICHIGAN
MI
Enumeration date
05/20/2008
Last updated
02/02/2015
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