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1285601062
SOUTHEASTERN WI RADIATION
WAUKESHA, WI
NPI
1285601062
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Entity Type
Organization
Authorized Contact
WINGATE FOSTER CLAPPER
President
262-696-0696
Organization Subpart ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
Enumeration Date
2006-03-01
Last Update Date
2017-01-30
Business Address
SOUTHEASTERN WI RADIATION
N16W24131 RIVERWOOD DRIVE
WAUKESHA, WI 53188
Phone number: 262-696-0696
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Mailing Address
SOUTHEASTERN WI RADIATION
PO BOX 677
WAUKESHA, WI 53187-0677
Phone number: 262-696-0710
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