Organization
MIDWEST OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE J. KOTTWITZ (OFFICE MANAGER)
(608) 836-7220
Entity
Organization
Contact information
Practice address
8309 GREENWAY BOULEVARD, SUITE 100, MIDDLETON, WI 53562
(608) 836-7220
(608) 836-7229
Mailing address
8309 GREENWAY BOULEVARD, SUITE 100, MIDDLETON, WI 53562
(608) 836-7220
(608) 836-7229
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32877200
—
WI
Enumeration date
08/11/2006
Last updated
04/11/2014
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