Organization Name: | ADVANCED INTERVENTIONS, SC |
NPI Number: | 1043515257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGG MICHAEL GAYLORD (DIRECTOR) |
Mailing Address: | 805 N Mayfair Rd Advanced Interventions Vascare Wauwatosa |
State: | WI US |
Postal Code: | 532264241 |
Phone Number: | 4149886773 |
Fax Number: | 4149886779 |
NPI Enumeration Date: | 01/19/2011 |
NPI Last Update Date: | 12/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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. |