| NPI | 1073560884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G WAGNER President 920-451-8142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |