Organization Name: | INTERVENTIONAL PROCEDURES GROUP LTD |
NPI Number: | 1003869140 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD D JACOBSEN (OFFICER ON THE BOARD SECRETARY) |
Mailing Address: | 2445 North Mayfair Road Wauwatosa |
State: | WI US |
Postal Code: | 53226 |
Phone Number: | 4147747226 |
Fax Number: | 4147746004 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 04/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |