SPINE CENTER OF WISCONSIN SC
Radiology at Kinnickinnic River Pkwy, Milwaukee, WI

License number
Wisconsin 19042
Category
Ambulatory Health
Type
Medical Specialty
License number
Wisconsin XM39276
Category
Ambulatory Health
Type
Radiology
Owner
Name: MS. MARY J BANACH
Title: OFC MGR
Phone: (414) 235-3623
Address
Address 2
2801 W Kinnickinnic River Pkwy STE 355, Milwaukee, WI 53215
PO Box 320695, Hales Corners, WI 53132
National Provider ID: 1467561506
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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