Fox Valley Open Mri, LLC

NPI #1881697837 in Appleton, Wisconsin

Provider Information

NPI Number
1881697837
Entity Type
Organization
Organization Name
Fox Valley Open Mri, LLC
Primary Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date
May 23, 2005
Last Updated
Jun 12, 2008

Practice Location

Address
201 W NORTHLAND AVE
ZIP Code
54911-2039
Phone
(920) 996-0724

Authorized Official

Name
MRS. MICHELLE DOUGLAS
Title
CREDENTIALING MANAGER
Phone
(502) 403-1401

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI)

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