Organization
NORTHERN IMAGING ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANGILERI MD (PRESIDENT)
(810) 625-4222
Entity
Organization
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(810) 625-4222
Mailing address
PO BOX 5617, SAGINAW, MI 48603-0617
(810) 625-4222
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300B410050
BCBS
MI
01
—
CN8601
MEDICARE RR GROUP PIN
MI
01
—
P103164
BCBS
MI
Enumeration date
07/15/2005
Last updated
07/21/2022
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