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Contact Information

KENNETH T BASTIN, MD
2900 W OKLAHOMA AVE
MILWAUKEE, WI53215-4330
 Phone: 414-649-6420
 Fax: 414-649-5309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KENNETH T BASTIN · (Male)

NPI # 1457393431
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2006
Last updated 09/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 30541
  • WI Medicaid 31641500
Hospital affiliation(s)
  • AURORA MEDICAL CENTER - (Acute Care)
    36500 AURORA DRIVE
    SUMMIT, WI 53066
  • AURORA ST LUKES MEDICAL CENTER - (Acute Care)
    2900 W OKLAHOMA AVE
    MILWAUKEE, WI 53215
  • AURORA WEST ALLIS MEDICAL CENTER - (Acute Care)
    8901 W LINCOLN AVE
    WEST ALLIS, WI 53227
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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