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Organization

SOUTHEASTERN WI RADIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WINGATE FOSTER CLAPPER MD (PRESIDENT)
(262) 696-0696
Entity
Organization

Contact information

Practice address
N16W24131 RIVERWOOD DRIVE, WAUKESHA, WI 53188
(262) 696-0696
(262) 696-0683
Mailing address
PO BOX 677, WAUKESHA, WI 53187-0677
(262) 696-0710
(262) 696-5680

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32828400
WI
Enumeration date
03/01/2006
Last updated
01/30/2017
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