NPI 1003869140

Interventional Procedures Group LTD

Organisation Diagnostic Radiology Physician Wauwatosa, WI

Practice location

Address: 2445 North Mayfair Road, Wauwatosa, WI 53226
Phone: (414) 774-7226
Fax: (414) 774-6004
Mailing address: 5775 Wayzata Blvd. Suite 400, St. Louis Park, MN 55416

Authorised official

Name: Donald D Jacobsen
Title: Officer on the Board Secretary
Phone: (952) 543-6500

Registered specialties (3)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in Wisconsin →

Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Wisconsin →

Registry record

NPI: 1003869140
Entity type: Organization
NPI issued: 18 May 2006
Record last updated: 2 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.