Moreland Medical Center X-Ray

NPI #1235127978 in Waukesha, Wisconsin

Provider Information

NPI Number
1235127978
Entity Type
Organization
Organization Name
Moreland Medical Center X-Ray
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Oct 6, 2005
Last Updated
Jun 20, 2008

Practice Location

Address
1111 DELAFIELD ST
Address 2
SUITE 301
ZIP Code
53188-3417
Phone
(262) 541-8020

Authorized Official

Name
MR. JOHN EDWARD STAGER
Title
DIRECTOR OF ANCILLARY SERVICES
Phone
(262) 542-8020

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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Provider Name
Prohealth Medical Group INC

Part of Prohealth Medical Group INC

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