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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