GREAT LAKES RADIATION MEDICINE PC
NPI 1437218609
Radiology - Radiation Oncology in Marquette, MI

Active since December 06, 2006
420 W MAGNETIC STREET, MARQUETTE, MI 49855(906) 228-9440(906) 225-3772 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Radiation Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES RADIATION MEDICINE PC (NPI 1437218609) is a healthcare organization registered as a radiation oncology in Marquette, Michigan and active in the NPI registry since December 2006. The organization lists Paul O Thieme, President, as its authorized official.

NPPES Registry Identity

NPI1437218609
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameGREAT LAKES RADIATION MEDICINE PC
Location Address420 W MAGNETIC STREETMarquette, MI 49855
Mailing Address420 W Magnetic StreetMarquette, MI 49855 · (906) 228-9440 · Fax (906) 225-3772
Fax(906) 225-3772
Organization SubpartNo
Authorized OfficialPaul O ThiemePresident · (906) 228-9440
Enumeration DateDecember 6, 2006
Last NPPES UpdateDecember 2, 2014
NPI 1437218609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
420 W MAGNETIC STREET, Marquette, MI 49855

Other Identifiers 1

Medicare ID-Type UnspecifiedON85060MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Radiation Medicine PC's NPI number?

The NPI number for Great Lakes Radiation Medicine PC is 1437218609. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Great Lakes Radiation Medicine PC located?

Great Lakes Radiation Medicine PC is located at 420 W Magnetic Street, Marquette, MI 49855. The listed phone number is (906) 228-9440.

What is Great Lakes Radiation Medicine PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Great Lakes Radiation Medicine PC was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.