| Midwest Open Mri, Llc | |
|
8309 Greenway Boulevard, Suite 100 Middleton WI 53562 | |
| (608) 836-7220 | |
| (608) 836-7229 |
| Full Name | Midwest Open Mri, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8309 Greenway Boulevard, Suite 100, Middleton, Wisconsin |
| Authorized Official Name and Position | Connie J. Kottwitz (OFFICE MANAGER) |
| Authorized Official Contact | 6088367220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Open Mri, Llc 8309 Greenway Boulevard, Suite 100 Middleton WI 53562 Ph: (608) 836-7220 | Midwest Open Mri, Llc 8309 Greenway Boulevard, Suite 100 Middleton WI 53562 Ph: (608) 836-7220 |
| NPI Number | 1790796936 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 04/11/2014 |
| Medicare PECOS PAC ID | 9335150218 |
|---|---|
| Medicare Enrollment ID | O20060505000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790796936 | NPI | - | NPPES |
| 32877200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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