Organization
AURORA BOREALIS RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANS ULRICH TSCHERSICH MD (OWNER)
(907) 486-5648
Entity
Organization
Contact information
Practice address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-9581
Mailing address
3427 E TUDOR RD STE A, ANCHORAGE, AK 99507-1282
(907) 563-3679
(907) 563-9070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2438
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2438
—
AK
Enumeration date
06/04/2009
Last updated
07/21/2009
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