Open and Wide Mri LLC

NPI #1235185513 in Goshen, Indiana

Provider Information

NPI Number
1235185513
Entity Type
Organization
Organization Name
Open and Wide Mri LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
May 26, 2006
Last Updated
Jan 8, 2024

Practice Location

Address
2856 EISENHOWER DR N.
Address 2
SUITE 1
City
Goshen
State
Indiana
ZIP Code
46528
Phone
(574) 266-9222

Authorized Official

Name
GARDNER BARTROM
Title
PRESIDENT
Phone
(765) 228-4660

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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