Organization
WEST BEND OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN A. METCALF MBA (MANAGER)
(262) 334-7674
Entity
Organization
Contact information
Practice address
1016 GATEWAY CT, WEST BEND, WI 53095-8541
(262) 334-7674
(262) 334-7692
Mailing address
1016 GATEWAY CT, WEST BEND, WI 53095-8541
(262) 334-7674
(262) 334-7692
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21265300
—
WI
Enumeration date
06/16/2005
Last updated
08/22/2020
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