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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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