| NPI | 1386601383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA SMITH Manager 715-461-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| 2085N0700X Radiology Neuroradiology | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085R0205X Radiology Radiological Physics | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-02-15 |