Advanced Healthcare, S.C.
Clinic/Center, Radiology, Mammography in Wauwatosa, WI. Organization (NPI-2).
NPI number1568547172
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1568547172
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Healthcare, S.C.
- Organization subpart
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0206X | Clinic/Center, Radiology, Mammography | – | – | Yes |
Practice location
3289 N Mayfair RdWauwatosa, WI 53222-3203
Phone 414-771-7900
Mailing address
3003 W Good Hope RdMilwaukee, WI 53209-2042
Phone 414-352-3100 · Fax 414-247-4590
Authorized official
Eugene W. Monroe
President
4143523100
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