Organization
CIRA MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M FAHEY MD (PRESIDENT)
(309) 740-4272
Entity
Organization
Contact information
Practice address
3401 LUDINGTON ST, ESCANABA, MI 49829-1300
(906) 786-3311
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
03/10/2026
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