Organization
DIAGNOSTIC & TREATMENT CENTER, LLC
Active
Organization
DIAGNOSTIC & TREATMENT CENTER, LLC
Active
Other names
Diagnostic & Surgical Service Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN CHISNELL (SENIOR DIRECTOR OF FINANCE)
(715) 393-2499
Entity
Organization
Contact information
Practice address
3401 CRANBERRY BLVD, WESTON, WI 54476
(715) 393-2489
(715) 241-9475
Mailing address
3401 CRANBERRY BLVD, WESTON, WI 54476
(715) 393-2489
(715) 241-9475
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41226200
—
WI
Enumeration date
09/20/2006
Last updated
05/13/2015
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