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Radiology Chartered
Diagnostic Radiology Physician in Green Bay, Wisconsin
NPI 1760416895

Radiology Chartered is a Diagnostic Radiology Physician based in Green Bay, WI and is specialized in Diagnostic Radiology. Radiology Chartered practices in Green Bay, WI. The NPI Number for Radiology Chartered is 1760416895 and holds a License No. (Wisconsin).

The current practice location address for Radiology Chartered is 1789 Shawano Ave, Green Bay, WI and can be reached out via phone at 920-499-1428 and via fax at 920-499-7080.

Location: 1789 Shawano Ave, Green Bay, WI, 54303-3243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760416895
Provider Name
Radiology Chartered
Credential
Provider Entity Type
Organization
Address
1789 Shawano Ave, Green Bay, WI, 54303-3243
Phone Number
920-499-1428
Fax Number
920-499-7080
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C04047 01 WI RR MEDICARE
32725000 05 WI
000007273 01 WI PTAN
institution
Provider Business Practice Location Address Details
Address
1789 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303-3243
Phone Number
920-499-1428
Fax Number
920-499-7080
person
Provider Business Mailing Address Details
Address
1789 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303-3243
Phone Number
920-499-1428
Fax Number
920-499-7080
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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