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Breast Diagnostic Clinic Sc
Diagnostic Radiology Physician in Waukesha, Wisconsin
NPI 1992919278

Breast Diagnostic Clinic Sc is a Diagnostic Radiology Physician based in Waukesha, WI and is specialized in Diagnostic Radiology. Breast Diagnostic Clinic Sc practices in Waukesha, WI. The NPI Number for Breast Diagnostic Clinic Sc is 1992919278 and holds a License No. (Wisconsin).

The current practice location address for Breast Diagnostic Clinic Sc is W238 N1645 Rockwood Drive, Waukesha, WI and can be reached out via phone at 262-523-4800 and via fax at 262-523-4805.

Location: W238 N1645 Rockwood Drive, Waukesha, WI, 53188-1148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992919278
Provider Name
Breast Diagnostic Clinic Sc
Credential
Provider Entity Type
Organization
Address
W238 N1645 Rockwood Drive, Waukesha, WI, 53188-1148
Phone Number
262-523-4800
Fax Number
262-523-4805
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32691200 05 WI
104257 01 WI FDA CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
W238 N1645 Rockwood Drive
City
Waukesha
State
Wisconsin
Zip
53188-1148
Phone Number
262-523-4800
Fax Number
262-523-4805
person
Provider Business Mailing Address Details
Address
W238 N1645 Rockwood Drive
City
Waukesha
State
Wisconsin
Zip
53188-1148
Phone Number
262-523-4800
Fax Number
262-523-4805
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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