Provider First Line Business Practice Location Address: 
MILWAUKEE RADIOLOGISTS, LTD.
    Provider Second Line Business Practice Location Address: 
6150 W. LAYTON AVE
    Provider Business Practice Location Address City Name: 
GREENFIELD
    Provider Business Practice Location Address State Name: 
WI
    Provider Business Practice Location Address Postal Code: 
53129
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
414-914-9430
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/24/2013