Organization
ADVANCED IMAGING S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT G HARRIS M.D. (PRESIDENT)
(920) 746-9729
Entity
Organization
Contact information
Practice address
228 S 18TH AVE, STURGEON BAY, WI 54235-1000
(920) 746-9729
(920) 746-9881
Mailing address
228 S 18TH AVE, STURGEON BAY, WI 54235-1000
(920) 746-9729
(920) 746-9881
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32877400
—
WI
Enumeration date
01/13/2006
Last updated
08/22/2020
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