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Organization
EAUCLAIRE OPEN MRI, LLC
Active
Organization
EAUCLAIRE OPEN MRI, LLC
Active
Other names
Chippewa Valley Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 477-1815
Entity
Organization
Contact information
Practice address
4130 STATE ROAD 93, EAU CLAIRE, WI 54701-7806
(715) 830-9507
(715) 830-9609
Mailing address
4130 STATE HWY 93, EAU CLAIRE, WI 54701-7806
(715) 830-9507
(715) 830-9609
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/27/2005
Last updated
02/29/2008
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