Organization
ONCOLOGY ALLIANCE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KOROSCIK (CHIEF OPERATING OFFICER)
(414) 906-4467
Entity
Organization
Contact information
Practice address
1055 N MAYFAIR RD, WAUWATOSA, WI 53226-3436
(414) 906-4467
(414) 906-4437
Mailing address
4655 N PORT WASHINGTON RD, GLENDALE, WI 53212-1004
(414) 906-4467
(414) 906-4437
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
WI
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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