| NPI | 1629442181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JOAN RIEGG Owner 262-442-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 33675-20) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |