Coulee Diagnostic Radiology INC

NPI #1063036408 in West Salem, Wisconsin

Provider Information

NPI Number
1063036408
Entity Type
Organization
Organization Name
Coulee Diagnostic Radiology INC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Jun 1, 2020
Last Updated
Jun 15, 2020

Practice Location

Address
1580 HERITAGE BLVD
ZIP Code
54669-9418
Phone
(608) 518-3406

Authorized Official

Name
EMMANUEL OMOBA, MD
Title
MANAGING DIRECTOR
Phone
(608) 518-3406

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Radiology, MammographyRadiology, Mammography
Clinic/Center - RadiologyRadiology

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