A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI # | 1467529917 |
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| LBN Legal business name | GBR SHEBOYGAN LLC | ||||
| Authorized official | JIMMY DADO - (DIRECTOR OF REVENUE CYCLE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/29/2006 | ||||
| Last updated | 05/29/2026 - Less than a week ago | ||||
| Identifiers |
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GBR SHEBOYGAN LLC
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