Premier Radiology Wisconsin, LLC
NPI #1952951154 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1952951154
- Entity Type
- Organization
- Organization Name
- Premier Radiology Wisconsin, LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Sep 19, 2019
- Last Updated
- Jan 22, 2025
Practice Location
- Address
- 10180 WASHINGTON AVE STE 101
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53177-1604
- Phone
- (414) 973-7830
Authorized Official
- Name
- MICHAEL MCCULLOUGH
- Title
- CFO
- Phone
- (414) 465-3736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
Additional Practice Locations
375 W River Woods Pkwy
Glendale, WI, 53212-1080
(414) 777-3189
12831 N Port Washington Rd
Mequon, WI, 53097-2400
(414) 777-3189
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