Organization
MILWAUKEE DIAGNOSTIC SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEIBSOHN MD (OWNER/PRESIDENT)
(414) 744-6300
Entity
Organization
Contact information
Practice address
1233 N MAYFAIR RD, SUITE #201, WAUWATOSA, WI 53226-3255
(414) 774-6300
Mailing address
1233 N MAYFAIR RD, SUITE #201, WAUWATOSA, WI 53226-3255
(414) 774-6300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30220700
—
WI
Enumeration date
07/23/2006
Last updated
03/24/2008
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