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Organization
NORTHWEST RADIATION ONCOLOGY ASSOCIATES, SC
Active
Organization
NORTHWEST RADIATION ONCOLOGY ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE M DOLL (BUSINESS MANAGER)
(715) 874-6575
Entity
Organization
Contact information
Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 874-6575
Mailing address
PO BOX 1125, EAU CLAIRE, WI 54702-1125
(715) 874-6575
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
29032
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32797700
—
WI
Enumeration date
12/11/2006
Last updated
08/22/2020
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