Organization
MORELAND MEDICAL CENTER X-RAY
Active
Other names
Moreland Medical X-Ray
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD STAGER (DIRECTOR OF ANCILLARY SERVICES)
(262) 542-8020
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, SUITE 301, WAUKESHA, WI 53188-3417
(262) 541-8020
(262) 650-4398
Mailing address
1111 DELAFIELD ST, SUITE 301, WAUKESHA, WI 53188-3417
(262) 541-8020
(262) 650-4398
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2005
Last updated
06/20/2008
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