Organization
OPEN ADVANCED MRI OF MILWAUKEE, LLC
Active
Organization
OPEN ADVANCED MRI OF MILWAUKEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN BROGHAMMER MD (MD)
(262) 782-1800
Entity
Organization
Contact information
Practice address
12780 W NORTH AVE, B, BROOKFIELD, WI 53005-4628
(262) 782-1800
(262) 782-8118
Mailing address
12780 W NORTH AVE, B, BROOKFIELD, WI 53005-4628
(262) 782-1800
(262) 782-8118
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32873200
—
WI
Enumeration date
01/17/2006
Last updated
08/22/2020
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