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Contact Information

RADIATION ONCOLOGY OF WISCONSIN S C
13111 N PORT WASHINGTON RD
ATTN: RADIATION ONCOLOGY DEPT.
MEQUON, WI53097-2416
 Phone: 262-243-8384
 Fax: 920-243-8385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for RADIATION ONCOLOGY OF WISCONSIN S C · (Female)

NPI # 1164691986
Status Active
Credentials
Entity Individual
Enumeration date 02/26/2008
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 32896900
  • WI Other CJ6385 TRAVELERS RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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