ADVANCED INTERVENTIONS SC NPI 1043515257

NPI Information

NPI: 1043515257
Provider Name: ADVANCED INTERVENTIONS, SC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
805 N MAYFAIR RD
ADVANCED INTERVENTIONS VASCARE
WAUWATOSA, WI
ZIP 53226
Phone: (414) 988-6773
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ADVANCED INTERVENTIONS, SC is a vascular and interventional radiology radiology in Wauwatosa, WI. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. ADVANCED INTERVENTIONS, SC NPI is 1043515257. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

805 N MAYFAIR RD
ADVANCED INTERVENTIONS VASCARE
WAUWATOSA, WI
ZIP 53226-241
Phone: (414) 988-6773
Fax: (414) 988-6779

The provider's authorized official is Gregg Michael Gaylord .
The authorized official title is Director and has the following contact phone number (920) 946-2505.

The enumeration date for this NPI number is 1/19/2011 and was last updated on 12/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology		WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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