Individual
DR. COLIN JAMES MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 PLEASANT VALLEY RD, ALYCE & ELMORE KRAEMER CANCER CARE CTR, WEST BEND, WI 53095-9274
(262) 836-7200
(262) 836-7201
Mailing address
3200 PLEASANT VALLEY RD, ALYCE & ELMORE KRAEMER CANCER CARE CTR, WEST BEND, WI 53095-9274
(262) 836-7200
(262) 836-7201
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
55900
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831302082
—
WI
Enumeration date
05/07/2007
Last updated
01/10/2014
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