Organization
BRONSON SERVICES LLC
Active
Other names
Bronson Advanced Radiology Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN WASLAWSKI MD (CORPORATE PRESIDENT)
(616) 363-7339
Entity
Organization
Contact information
Practice address
524 S PARK ST, KALAMAZOO, MI 49007-5118
(269) 381-2920
(269) 381-4681
Mailing address
524 S PARK ST, KALAMAZOO, MI 49007-5118
(269) 381-2920
(269) 381-4681
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300C911710
BLUE CROSS BLUE SHIELD
MI
01
—
DB9949
RAILROAD MEDICARE
MI
01
—
P31729F
BLUE CARE NETWORK
MI
Enumeration date
06/01/2006
Last updated
02/13/2014
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