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Organization

SAINT LUKES CANCER INSTITUTE LLC

Active
Other names
THE CANCER INSTITUTE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS J WIEMAN M.D. (CHIEF FINANCIAL OFFICER)
(816) 932-2823
Entity
Organization

Contact information

Practice address
4321 WASHINGTON ST, SUITE 4000, KANSAS CITY, MO 64111-5961
(816) 932-4549
(816) 932-9865
Mailing address
4321 WASHINGTON ST, SUITE 4000, KANSAS CITY, MO 64111-5961
(816) 932-4549
(816) 932-9865

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207ND0101X
MOHS-Micrographic Surgery Physician
207RH0003X
Hematology & Oncology Physician
207RX0202X
Medical Oncology Physician
207VX0201X
Gynecologic Oncology Physician
208200000X
Plastic Surgery Physician
2085R0202X
Diagnostic Radiology Physician
208600000X
Surgery Physician
2086S0102X
Surgical Critical Care Physician
2086S0122X
Plastic and Reconstructive Surgery Physician
2086S0127X
Trauma Surgery Physician
2086X0206X
Surgical Oncology Physician
Primary
471-3
MO
2086X0206X
Surgical Oncology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31006019
BLUE CROSS KC
MO
01
CJ7876
RAILROAD MEDICARE
MO
Enumeration date
05/25/2006
Last updated
04/17/2008
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