Great Lakes Radiation Oncology,

LBN: Great Lakes Radiation Oncology,
Great Lakes Radiation Oncology, is an health care organization with primary practice located at 19333 W North Ave , Brookfield WI 53045-4132. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as the primary health care specialty. Great Lakes Radiation Oncology, can be contacted via phone (414) 447-2221, or through Sherman, David M via phone (414) 447-2221.

Contact Information

Primary practice address
19333 W North Ave Brookfield WI 53045-4132
Phone: (414) 447-2221
Fax: (262) 641-6880
Website:
Map and Directions
Authorized official contact:
Name: Sherman, David M Doctor of Medicine (MD)
Phone: (414) 447-2221

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X

Profile Details

NPI number 1861444291
LBN Legal business name Great Lakes Radiation Oncology,
DBA Doing business as
Authorized official Sherman, David M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861444291 NPPES
Wisconsin MEDICAID 21281300

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