NPI Provider: 1457356321
Contact Name: Metcalf A. Steven
Position: Manager
Phone: (262) 334-7674
West Bend Open Mri, Llc Information:
West Bend Open Mri, Llc organization have npi 1457356321, taxonomy code is 261QM1200X with license number is 138252 in . This Business address located in 1016 Gateway Ct, West Bend, WI 53095 Wisconsin.
Practice Location
Address: 1016 Gateway Ct, West Bend, WI 53095
Phone: (262) 334-7674
Business Location
Address: 1016 Gateway Ct, West Bend, WI 53095
Phone: (262) 334-7674
Fax: (262) 334-7692
Taxonomy
Taxonomy Code: 261QM1200X
License Number: 138252
License Number of State: WI
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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