Organization
OPEN MRI OF SHEBOYGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J KAMKE MD (AUTHORIZED OFFICIAL)
(920) 208-9000
Entity
Organization
Contact information
Practice address
1414 NORTH TAYLOR, OPEN MRI OF SHEBOYGAN, SHEBOYGAN, WI 53081
(920) 208-9000
(920) 208-9001
Mailing address
1414 NORTH TAYLOR, OPEN MRI OF SHEBOYGAN, SHEBOYGAN, WI 53081
(920) 208-9000
(920) 208-9001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21258500
—
WI
Enumeration date
11/06/2006
Last updated
01/30/2008
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