Organization
RADIATION ONCOLOGY OF WISCONSIN S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LARUE (OFFICE MANAGER)
(920) 457-6750
Entity
Organization
Contact information
Practice address
2350 N LAKE DR, RADIATION ONCOLOGY DEPT., MILWAUKEE, WI 53211-4507
(414) 291-1556
(414) 291-1557
Mailing address
PO BOX 1127, SHEBOYGAN, WI 53082-1127
(920) 457-6750
(920) 457-8350
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32896900
—
WI
01
—
CJ6385
RAILROAD MEDICARE
WI
Enumeration date
11/03/2005
Last updated
04/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us