Organization
SHARED MAGNETIC RESONANCE IMAGING FACILITY, INC
Active
Other names
SSM Health Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J THIERMANN (EXECUTIVE DIRECTOR)
(608) 259-4438
Entity
Organization
Contact information
Practice address
1104 JOHN NOLEN DR, SUITE 1, MADISON, WI 53713-1430
(608) 251-6868
(608) 251-4255
Mailing address
1104 JOHN NOLEN DR, SUITE 1, MADISON, WI 53713-1430
(608) 251-6868
(608) 251-4255
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32828800
—
WI
Enumeration date
04/21/2006
Last updated
01/08/2024
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