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
1340A WEST TOWN SQUARE ROAD, MEQUON, WI 53092
(262) 240-7226
(262) 240-7227
Mailing address
PO BOX 2088, DEPT 4158, 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
06/29/2006
Last updated
08/22/2020
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