Organization
BAY AREA IMAGING, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD M. WINECK M.D. (PRESIDENT)
(715) 735-4200
Entity
Organization
Contact information
Practice address
3100 SHORE DR, RADIOLOGY DEPARTMENT, MARINETTE, WI 54143-4242
(715) 735-4200
(715) 735-8019
Mailing address
10335 N PORT WASHINGTON RD, SUITE 250, MEQUON, WI 53092-5763
(262) 240-9870
(262) 240-9869
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21263400
—
WI
Enumeration date
06/25/2006
Last updated
08/22/2020
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