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Organization

RADIATION ONCOLOGY ASSOCIATES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH BASTIN MD (PRESIDENT)
(414) 649-6420
Entity
Organization

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6420
(414) 649-5309
Mailing address
11516 N PORT WASHINGTON RD, STE 107, MEQUON, WI 53092-3441
(262) 241-5040
(262) 241-5261

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32741900
WI
Enumeration date
05/23/2006
Last updated
03/04/2026
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