Organization
RADIOLOGY MERRILL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE ANN NEUMANN (OFFICE MANAGER)
(262) 338-6176
Entity
Organization
Contact information
Practice address
601 S CENTER AVE, MERRILL, WI 54452-3404
(262) 338-6176
Mailing address
280 W RUSCO DR, WEST BEND, WI 53095-9780
(262) 338-6176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26317-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32723000
—
WI
Enumeration date
11/17/2006
Last updated
01/26/2012
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