Organization
MEDICAL IMAGING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLA J VETSCH (MGR)
(701) 662-5247
Entity
Organization
Contact information
Practice address
1031 7TH ST NE, DEVILS LAKE, ND 58301
(701) 662-5247
(701) 662-4473
Mailing address
PO BOX 801, DEVILS LAKE, ND 58301
(701) 662-5247
(701) 662-4473
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4523
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10451
—
ND
Enumeration date
11/28/2007
Last updated
10/08/2012
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