Diaspora Radiology, Sc

NPI #1790402543 in Onalaska, Wisconsin

Provider Information

NPI Number
1790402543
Entity Type
Organization
Organization Name
Diaspora Radiology, Sc
Subpart
Yes (part of a larger organization)
Parent Organization
DIASPORA RADIOLOGY, SC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Oct 24, 2022
Last Updated
Oct 24, 2022

Practice Location

Address
111 SAND LAKE RD
ZIP Code
54650-2760
Phone
(847) 878-9109

Authorized Official

Name
MARIA CORONA
Title
SENIOR DIRECTOR, OPERATIONS
Phone
(847) 878-9109

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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