National Provider Identifier Database

SOUTHEASTERN WI RADIATION
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

SOUTHEASTERN WI RADIATION
N16W24131 RIVERWOOD DRIVE
WAUKESHA, WI53188
Phone: 262-696-0696
Fax: 262-696-0683
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for SOUTHEASTERN WI RADIATION

NPI Number 1285601062
Legal business name
LBN
SOUTHEASTERN WI RADIATION
Authorized official WINGATE CLAPPER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/01/2006
Last updated 01/30/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 32828400

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.

Reviews for SOUTHEASTERN WI RADIATION

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