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Individual

PETER A BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 JOHN Q HAMMONS DR, DEAN HEMATOLOGY & ONCOLOGY CENTER, MADISON, WI 53717-1959
(608) 410-2700
(608) 410-2901
Mailing address
1200 JOHN Q HAMMONS DR, DEAN HEMATOLOGY & ONCOLOGY CENTER, MADISON, WI 53717-1959
(608) 410-2700
(608) 410-2901

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
26243-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30608700
WI
01
60400
DEAN HEALTH INSURANCE
WI
Enumeration date
05/26/2006
Last updated
05/06/2008
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