Great Lakes Radiologists Sc
NPI #1609800291 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1609800291
- Entity Type
- Organization
- Organization Name
- Great Lakes Radiologists Sc
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2875 S 171ST ST
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-3200
- Phone
- (262) 786-3107
Authorized Official
- Name
- MR. THOMAS GROSSMAN
- Title
- CHIEF OPERATING OFFICER
- Phone
- (262) 780-0357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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