Wisconsin Upper Peninsula Oncology Management Services, Inc.

NPI #1962438614 in Marinette, Wisconsin

Provider Information

NPI Number: 1962438614
Entity Type: Organization
Organization Name: Wisconsin Upper Peninsula Oncology Management Services, Inc.
Primary Specialty: Radiology - Radiation Oncology
Enumeration Date: Jun 24, 2006
Last Updated: Jul 25, 2014

Practice Location

Address: 3100 SHORE DR
City: Marinette
State: Wisconsin
ZIP Code: 54143-4242
Phone: (715) 735-6523

Authorized Official

Name: DAN CARLSON
Title: MANAGER
Phone: (715) 735-8016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Radiation Oncology — Radiation Oncology	2085R0001X	Primary

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