Organization
PREMIER RADIOLOGY WISCONSIN, LLC
Active
Organization
PREMIER RADIOLOGY WISCONSIN, LLC
Active
Other names
Ascension Premier Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DWYER (CFO)
(414) 465-3093
Entity
Organization
Contact information
Practice address
10180 WASHINGTON AVE STE 101, MOUNT PLEASANT, WI 53177-1604
(414) 973-7830
(414) 793-7831
Mailing address
PO BOX 713302, CHICAGO, IL 60677-1320
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
07/21/2026
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