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Contact Information

CEDAR STRAITS MEDICAL ASSOCIATES PC
500 OSBORN BLVD
SAULT STE. MARIE, MI49783-1822
 Phone: 800-764-7297
 Fax: 734-677-7407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for CEDAR STRAITS MEDICAL ASSOCIATES PC

NPI # 1568656932
LBN Legal business name CEDAR STRAITS MEDICAL ASSOCIATES PC
Authorized official RALPH DUMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2007
Last updated 01/11/2011 - About 15 years ago
Identifiers
MI Medicaid 4756620
MI Other 0A710590 BCBS OF MI GROUP PIN
MI Other DD4837 PALMETTO GBA/MEDICARE RR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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