Organization · NPI-2

Advanced Healthcare, S.C.

Clinic/Center, Radiology, Mammography · Milwaukee, WI

NPI number1740365345
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1740365345
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 codeDescriptionLicenseStatePrimary
261QR0206X Clinic/Center, Radiology, Mammography––Yes

Practice location

7878 N 76th St
Milwaukee, WI 53223-3914

Phone 414-354-6434

Mailing address

3003 W Good Hope Rd
Milwaukee, WI 53209-2042

Phone 414-352-3100 · Fax 414-247-4590

Authorized official

Eugene W. Monroe
President
4143523100

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