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Open And Wide Mri Llc
Diagnostic Radiology Physician in Elkhart, Indiana
NPI 1306883616

Open And Wide Mri Llc is a Diagnostic Radiology Physician based in La Fontaine, IN and is specialized in Diagnostic Radiology. Open And Wide Mri Llc practices in Elkhart, IN. The NPI Number for Open And Wide Mri Llc is 1306883616 and holds a License No. (Indiana).

The current practice location address for Open And Wide Mri Llc is 3050 Windsor Court, Elkhart, IN and can be reached out via phone at 574-266-9222. You can also correspond with Open And Wide Mri Llc through the mailing address at PO BOX 338, LA FONTAINE, IN - 46940-0338 (mailing address contact number: 765-228-4660).

Location: 3050 Windsor Court, Elkhart, IN, 46940-0338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306883616
Provider Name
Open And Wide Mri Llc
Credential
Provider Entity Type
Organization
Address
3050 Windsor Court, Elkhart, IN, 46940-0338
Phone Number
574-266-9222
Fax Number
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200415560 05 IN
CK6657 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3050 Windsor Court
City
Elkhart
State
Indiana
Zip
46514-5555
Phone Number
574-266-9222
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 338
City
La Fontaine
State
Indiana
Zip
46940-0338
Phone Number
765-228-4660
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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