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Great Lakes Radiologists Sc
Diagnostic Radiology Physician in New Berlin, Wisconsin
NPI 1609800291

Great Lakes Radiologists Sc is a Diagnostic Radiology Physician based in New Berlin, WI and is specialized in Diagnostic Radiology. Great Lakes Radiologists Sc practices in New Berlin, WI. The NPI Number for Great Lakes Radiologists Sc is 1609800291 and holds a License No. (Wisconsin).

The current practice location address for Great Lakes Radiologists Sc is 2875 S 171St St, New Berlin, WI and can be reached out via phone at 262-786-3107 and via fax at 262-780-0442.

Location: 2875 S 171St St, New Berlin, WI, 53151-3200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609800291
Provider Name
Great Lakes Radiologists Sc
Credential
Provider Entity Type
Organization
Address
2875 S 171St St, New Berlin, WI, 53151-3200
Phone Number
262-786-3107
Fax Number
262-780-0442
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32868800 05 WI
institution
Provider Business Practice Location Address Details
Address
2875 S 171St St
City
New Berlin
State
Wisconsin
Zip
53151-3200
Phone Number
262-786-3107
Fax Number
262-780-0442
person
Provider Business Mailing Address Details
Address
2875 S 171St St
City
New Berlin
State
Wisconsin
Zip
53151-3200
Phone Number
262-786-3107
Fax Number
262-780-0442
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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