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
- City
- West Salem
- State
- Wisconsin
- 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, Mammography — Radiology, Mammography |
| Clinic/Center - Radiology — Radiology |
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