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Organization

SMART CHOICE MRI LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE M HERBST (VP, OPERATIONS)
(414) 807-5733
Entity
Organization

Contact information

Practice address
1621 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3605
(414) 431-0309
(414) 672-2292
Mailing address
10532 NORTH PORT WASHINGTON ROAD, SUITE 1B, MEGQUON, WI 53092
(414) 431-0309
(414) 672-2292

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21309000
WI
Enumeration date
08/09/2006
Last updated
03/19/2015
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