JAMIE L FORT

MIDWEST RADIOLOGY PA

Dr JAMIE L FORT is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2006 from University Of Minnesota Medical School.

Contact

MIDWEST RADIOLOGY PA

10000 W BLUEMOUND RD
WAUWATOSA
WI
532264321

Tel: 4144563000

JAMIE L FORT Information

Npi 1568589083
Pac Id 3375711542
Professional Enrollment Id I20110714000713
Last Name FORT
First Name JAMIE
Middle Name L
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 2006
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MIDWEST RADIOLOGY PA
Group Practice Pac Id 4486568482
Number Of Group Practice Members 182
Line 1 Street Address 10000 W BLUEMOUND RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WAUWATOSA
State WI
Zip Code 532264321
Phone Number 4144563000
Hospital Affiliation Ccn 1 521308
Hospital Affiliation Lbn 1 AMERY HOSPITAL & CLINIC
Hospital Affiliation Ccn 2 521345
Hospital Affiliation Lbn 2 WESTFIELDS HOSPITAL AND CLINIC
Hospital Affiliation Ccn 3 240066
Hospital Affiliation Lbn 3 LAKEVIEW MEMORIAL HOSPITAL
Hospital Affiliation Ccn 4 521347
Hospital Affiliation Lbn 4 WESTERN WISCONSIN HEALTH
Hospital Affiliation Ccn 5 521318
Hospital Affiliation Lbn 5 LADD MEMORIAL HOSPITAL
Professional Accepts Medicare Assignment Y

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