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Contact Information

SOUTHEASTERN WI RADIATION
N16W24131 RIVERWOOD DRIVE
WAUKESHA, WI53188
 Phone: 262-696-0696
 Fax: 262-696-0683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN WI RADIATION

NPI # 1285601062
LBN Legal business name SOUTHEASTERN WI RADIATION
Authorized official WINGATE CLAPPER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2006
Last updated 01/30/2017 - About 9 years ago
Identifiers
WI Medicaid 32828400
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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