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Organization
ONCOLOGY ALLIANCE, S.C.
Active
Organization
ONCOLOGY ALLIANCE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KOROSCIK (COO)
(414) 906-4400
Entity
Organization
Contact information
Practice address
1055 N MAYFAIR RD, STE 200, WAUWATOSA, WI 53226-3436
(414) 906-4467
Mailing address
1055 N MAYFAIR RD, SUITE 200, WAUWATOSA, WI 53226-3436
(414) 906-4467
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30341800
—
WI
Enumeration date
01/09/2006
Last updated
11/15/2007
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