Organization
GERMANTOWN MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN A. METCALF (ADMINISTRATOR)
(815) 985-5260
Entity
Organization
Contact information
Practice address
W178N9912 RIVERCREST DR, SUITE 102-A, GERMANTOWN, WI 53022-4645
(815) 985-5260
(815) 885-1062
Mailing address
PO BOX 6368, ROCKFORD, IL 61125-1368
(815) 985-5260
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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