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RADIATION ONCOLOGY OF WISCONSIN S C NPI 1740271287


NPI Information

NPI: 1740271287
Provider Name: RADIATION ONCOLOGY OF WISCONSIN S C
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2350 N LAKE DR
RADIATION ONCOLOGY DEPT.
MILWAUKEE, WI
ZIP 53211
Phone: (414) 291-1556
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RADIATION ONCOLOGY OF WISCONSIN S C is a radiation oncology radiology in Milwaukee, WI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. RADIATION ONCOLOGY OF WISCONSIN S C NPI is 1740271287. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2350 N LAKE DR
RADIATION ONCOLOGY DEPT.
MILWAUKEE, WI
ZIP 53211-507
Phone: (414) 291-1556
Fax: (414) 291-1557

The provider's authorized official is Donna Larue .
The authorized official title is Office Manager and has the following contact phone number (920) 457-6750.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0203XRadiologyTherapeutic RadiologyNo
22085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========010OTHERWISCONSINBLUE CROSS & BLUE SHIELD
232896900MEDICAIDWISCONSIN
302104MEDICARE PINWISCONSIN
4CJ6385OTHERWISCONSINRAILROAD MEDICARE

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

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