Organization
BIF IMAGING LLC
Active
Organization
BIF IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HERZOG MD (AUTHORIZED OFFICIAL)
(414) 964-4601
Entity
Organization
Contact information
Practice address
4601 N OAKLAND AVE, SHOREWOOD, WI 53211-1232
(414) 964-4601
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21259300
—
WI
Enumeration date
08/03/2006
Last updated
08/22/2020
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