MEDICARE: WOODLAND IMAGING CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center		MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00350162	OTHER	MI	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1053362228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLAND IMAGING CENTER LLC

Provider Business Mailing Address
First Line	:	7575 GRAND RIVER AVE
Second Line	:	STE 103
City	:	BRIGHTON
State	:	MI
Zip	:	48114-9309
Country	:	US
Telephone Number	:	734-712-8350
Fax Number	:

Provider Business Practice Location Address
First Line	:	7575 GRAND RIVER AVE
Second Line	:	STE 103
City	:	BRIGHTON
State	:	MI
Zip	:	48114-9309
Country	:	US
Telephone Number	:	734-712-8350
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DAVID JOSEPH FUGENSCHUH
Credential	:	MD
Telephone Number	:	734-712-8350

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	10/16/2007

Similar Medicare Providers

1508836990 — MRS. HEATHER DECKER PA-C
Practice Location Address:

7575 GRAND RIVER RD
BRIGHTON, MI
48114-9309

Practice Phone: 810-844-7290
Practice Fax: 810-844-7295

1699743146 — DR. DONNA VORIAS M.D.
Practice Location Address:

7575 GRAND RIVER RD , SUITE 210
BRIGHTON, MI
48114-9309

Practice Phone: 810-844-7700
Practice Fax: 810-844-7701

1013976968 — MS. ROBERTA ANN KNITTLE PA-C
Practice Location Address:

7575 GRAND RIVER RD , URGENT CARE
BRIGHTON, MI
48114-9309

Practice Phone: 810-844-7511
Practice Fax: 810-844-7512

1336258979 — DR. ALEXIS B. MICHAELS M.D.
Practice Location Address:

7575 GRAND RIVER RD
BRIGHTON, MI
48114-9309

Practice Phone: 248-504-0588
Practice Fax:

1336211259 — MR. GARY A FALKENBERG DO
Practice Location Address:

7575 GRAND RIVER RD , SUITE 209
BRIGHTON, MI
48114-9309

Practice Phone: 810-844-7950
Practice Fax: 810-844-7955

1457424095 — MARGARET MCMAHON CNP
Practice Location Address:

7575 GRAND RIVER RD , SUITE 209
BRIGHTON, MI
48114-9309

Practice Phone: 810-844-7774
Practice Fax:

Directions to “WOODLAND IMAGING CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.