Organization
ENHANCED MEDICAL IMAGING MILWAUKEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC V WNUCK (PRESIDENT)
(414) 546-4450
Entity
Organization
Contact information
Practice address
7523 W OKLAHOMA AVE, MILWAUKEE, WI 53219-2861
(414) 546-4450
Mailing address
520 58TH ST, SUITE 300, KENOSHA, WI 53140-4115
(262) 925-0990
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21296700
—
WI
Enumeration date
07/11/2006
Last updated
12/23/2010
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