Organization
CENTER FOR MEDICAL IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER PELLMANN M.D. (PRESIDENT)
(262) 255-4500
Entity
Organization
Contact information
Practice address
W178N9912 RIVERCREST DR, SUITE 102, GERMANTOWN, WI 53022-4645
(262) 255-4500
(262) 255-6500
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21268200
—
WI
Enumeration date
07/11/2006
Last updated
07/21/2022
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