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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

NPI Number 1164691986
LBN Legal business name RADIATION ONCOLOGY OF WISCONSIN S C
Authorized official CARL OLSON - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2008
Last updated 04/20/2008 - About 18 years ago
Identifiers
WI Medicaid 32896900
WI Other CJ6385 TRAVELERS RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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