Organization
ELITE EXTREMITY MRI OF WISCONSIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LUDGATIS (CEO)
(262) 496-3838
Entity
Organization
Contact information
Practice address
4931 S 27TH ST, MILWAUKEE, WI 53221-2652
(414) 249-3250
Mailing address
1050 MILWAUKEE AVE STE 102, BURLINGTON, WI 53105-1380
(262) 758-6155
(262) 758-6145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
07/23/2019
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