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NPI Code Detail

MEDICARE: COLDWATER RADIOLOGY PC

MEDICARE: COLDWATER RADIOLOGY PC
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
12085R0202XDiagnostic Radiology PhysicianMM033610MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144280694
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLDWATER RADIOLOGY PC
Provider Business Mailing Address
First Line : 22 N HUDSON ST
Second Line : PO BOX 489
City : COLDWATER
State : MI
Zip : 49036-1610
Country : US
Telephone Number : 517-278-2246
Fax Number : 517-278-0426
Provider Business Practice Location Address
First Line : 274 E CHICAGO ST
Second Line :
City : COLDWATER
State : MI
Zip : 49036-2041
Country : US
Telephone Number : 517-279-5400
Fax Number :
Authorized Official
Title or Position : RADIOLOGIST
Name : DR. MICHAEL DAMIAN MOLESKI
Credential : MD
Telephone Number : 517-278-2246
Provider Enumeration Date : 03/27/2006
Last Update Date : 02/25/2008

Similar Medicare Providers

1942203823 — DR. RALPH EDWARD SHRIDER MD
Practice Location Address:
274 E CHICAGO ST
COLDWATER, MI
49036-2041
Practice Phone: 517-279-5400
Practice Fax: 517-279-1247
1548263429 — DR. MICHAEL DAMIAN MOLESKI MD
Practice Location Address:
274 E CHICAGO ST
COLDWATER, MI
49036-2041
Practice Phone: 517-278-2246
Practice Fax: 517-278-0426
1417930702 — DR. REGIO T PENNA MD
Practice Location Address:
274 E CHICAGO ST
COLDWATER, MI
49036-2041
Practice Phone: 517-279-5400
Practice Fax: 419-866-5453
1891763991 — VINCENT RIMANELLI D.O.
Practice Location Address:
274 E CHICAGO ST
COLDWATER, MI
49036-2041
Practice Phone: 517-279-5400
Practice Fax:
1063471639 — COMMUNITY HEALTH CENTER OF BRANCH COUNTY
Practice Location Address:
274 E CHICAGO ST
COLDWATER, MI
49036-2041
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Practice Fax:
1780649327 — BARBARA S MCGRATH M.D.
Practice Location Address:
274 E CHICAGO ST
COLDWATER, MI
49036-2041
Practice Phone: 517-279-5301
Practice Fax: 517-279-5218

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