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institution
Coulee Diagnostic Radiology Inc
Mammography Clinic/Center in West Salem, Wisconsin
NPI 1063036408

Coulee Diagnostic Radiology Inc is a Mammography Clinic/Center based in Onalaska, WI and is specialized in Radiology, Mammography. Coulee Diagnostic Radiology Inc practices in West Salem, WI. The NPI Number for Coulee Diagnostic Radiology Inc is 1063036408 and holds a License No. (Wisconsin).

The current practice location address for Coulee Diagnostic Radiology Inc is 1580 Heritage Blvd, West Salem, WI and can be reached out via phone at 608-518-3406.

Location: 1580 Heritage Blvd, West Salem, WI, 54650-3603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063036408
Provider Name
Coulee Diagnostic Radiology Inc
Credential
Provider Entity Type
Organization
Address
1580 Heritage Blvd, West Salem, WI, 54650-3603
Phone Number
608-518-3406
Fax Number
Provider Enumeration Date
06/01/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F37837 05 WI
32447500 05 WI
institution
Provider Business Practice Location Address Details
Address
1580 Heritage Blvd
City
West Salem
State
Wisconsin
Zip
54669-9418
Phone Number
608-518-3406
Fax Number
person
Provider Business Mailing Address Details
Address
1580 Heritage Blvd
City
West Salem
State
Wisconsin
Zip
54669-9418
Phone Number
608-518-3406
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
261QR0206X
License No.
()
Definition
Definition to come...
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