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General NPI Number Information
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NPI Number | 1588923148
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Entity Type | Organization
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Legal Business Name | SAGINAW VALLEY MEDICAL IMAGING
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 4200 FASHION SQUARE BLVD SUITE 1
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City | SAGINAW
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State | MI
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Zip | 48603-1375
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Country | US
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Telephone | 989-797-3000
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Fax | 989-799-6459
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Provider Business Mailing Address
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Address Line | 4677 TOWNE CENTRE RD SUITE 301
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City | SAGINAW
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State | MI
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Zip | 48604-2846
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Country | US
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Telephone | 989-799-8712
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Fax | 989-791-1152
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERALD R SCHELL
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Credential | MD
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Telephone | 989-799-8712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 4301407494
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | 4301407494
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 4301407494
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 4301407494
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 4301407494
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 4301407494
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 4301407494
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 4301407494
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License Number State | MI
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301407494
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License Number State | MI
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