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Organization

RADIOLOGY WAUKESHA S.C.

Active
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Organization

RADIOLOGY WAUKESHA S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VICTOR IAN CZARNECKI MBA (BUSINESS MANAGER)
(414) 422-0780
Entity
Organization

Contact information

Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4659
(414) 422-9620
Mailing address
18650 W CORPORATE DR, SUITE 200, BROOKFIELD, WI 53045-6344
(262) 641-6888
(414) 422-9620

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
08/21/2007
Last updated
08/21/2007
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