NPI 1093782435
Milwaukee Center for Diagnostic Imaging LLC
Practice location
- Address
- 2445 North Mayfair Rd Suite 100, Wauwatosa, WI 53226
- Phone
- (414) 774-7226
- Fax
- (414) 774-6004
- Mailing address
- PO Box 2088 Dept 4058, Milwaukee, WI 53201-2088
Authorised official
- Name
- Donald D Jacobsen
- Title
- Officer on the Board Asst Secretary
- Phone
- (952) 543-6500
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1093782435
- Entity type
- Organization
- NPI issued
- 3 Mar 2006
- Record last updated
- 22 Aug 2020
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.