NPI 1043515257

Advanced Interventions, Sc

Organisation Vascular & Interventional Radiology Physician Wauwatosa, WI

Practice location

Address: 805 N Mayfair Rd Advanced Interventions Vascare, Wauwatosa, WI 53226-4241
Phone: (414) 988-6773
Fax: (414) 988-6779
Mailing address: 4131 W Loomis Rd STE 210, Greenfield, WI 53221-2057

Authorised official

Name: Gregg Michael Gaylord
Title: Director
Phone: (920) 946-2505

Registered specialties

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Other Radiology providers in Wisconsin →

Registry record

NPI: 1043515257
Entity type: Organization
NPI issued: 19 Jan 2011
Record last updated: 6 Dec 2011

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.