# WEST BEND OPEN MRI, LLC

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

## Provider details

- **NPI number:** 1457356321
- **Authorized official:** MR. STEVEN A. METCALF MBA (MANAGER)
- **Authorized official phone:** (262) 334-7674

## Contact information

- **Practice address:** 1016 GATEWAY CT, WEST BEND, WI 53095-8541
- **Practice address phone:** (262) 334-7674
- **Practice address fax:** (262) 334-7692
- **Mailing address:** 1016 GATEWAY CT, WEST BEND, WI 53095-8541
- **Mailing address phone:** (262) 334-7674
- **Mailing address fax:** (262) 334-7692

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 08/22/2020