Organization
BROOKFIELD RADIOLOGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HEIGHWAY MD (PRESIDENT)
(262) 785-2202
Entity
Organization
Contact information
Practice address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(262) 785-2202
(262) 641-6880
Mailing address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(262) 785-2202
(262) 641-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32729800
—
WI
Enumeration date
05/27/2006
Last updated
08/22/2020
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