# MMC MRI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215925839
- **Authorized official:** MRS. BONNIE WIESMUELLER (DIRECTOR)
- **Authorized official phone:** (262) 541-8020

## Contact information

- **Practice address:** 1111 DELAFIELD ST, SUITE 301, WAUKESHA, WI 53188-3417
- **Practice address phone:** (262) 541-8020
- **Practice address fax:** (262) 650-4398
- **Mailing address:** 1111 DELAFIELD ST, SUITE 301, WAUKESHA, WI 53188-3417
- **Mailing address phone:** (262) 541-8020
- **Mailing address fax:** (262) 650-4398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 08/22/2020