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Organization

ENHANCED MEDICAL IMAGING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEPHANIE A STEPHENS (MEDICAL BENEFITS COORDINATOR)
(262) 554-9787
Entity
Organization

Contact information

Practice address
5439 DURAND AVE, RACINE, WI 53406-5058
(262) 554-9787
(262) 554-9782
Mailing address
5439 DURAND AVE, RACINE, WI 53406-5058
(262) 554-9787
(262) 554-9782

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WI

Other

Enumeration date
10/17/2006
Last updated
07/21/2022
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