Organization Name: | RADIOLOGY ASSOCIATES OF WAUSAU, SC |
NPI Number: | 1588679450 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES COLLISON (PRESIDENT) |
Mailing Address: | 425 Pine Ridge Blvd Wausau |
State: | WI US |
Postal Code: | 544014123 |
Phone Number: | 7158472020 |
Fax Number: | 7158470020 |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |