Organization
MILWAUKEE CENTER FOR DIAGNOSTIC IMAGING LLC
Active
Organization
MILWAUKEE CENTER FOR DIAGNOSTIC IMAGING LLC
Active
Other names
Center for Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D JACOBSEN (OFFICER ON THE BOARD ASST SECRETARY)
(952) 543-6500
Entity
Organization
Contact information
Practice address
2445 NORTH MAYFAIR RD, SUITE 100, WAUWATOSA, WI 53226
(414) 774-7226
(414) 774-6004
Mailing address
PO BOX 2088, DEPT 4058, MILWAUKEE, WI 53201-2088
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/03/2006
Last updated
08/22/2020
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