GREAT LAKES RADIATION MEDICINE PC – NPI #1437218609
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

GREAT LAKES RADIATION MEDICINE PC is a radiologist located in MARQUETTE, MI. NPPES has assigned the NPI number 1437218609 to GREAT LAKES RADIATION MEDICINE PC on December 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 12 years ago on Dec 02, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES RADIATION MEDICINE PC below.

NPI Profile for
GREAT LAKES RADIATION MEDICINE PC

NPI Number
1437218609
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKES RADIATION MEDICINE PC
Primary location
420 W MAGNETIC STREET
MARQUETTE, MI 49855
Phone: (906) 228-9440 Fax: (906) 225-3772
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL THIEME
PRESIDENT
Phone: (906) 228-9440
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.