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Oncology Alliance — NPI 1013963404, Wauwatosa, WI | NPI Central

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NPI 1013963404

OrganizationActive

Oncology Alliance

NPI 1013963404 · Non-Pharmacy Dispensing Site · Wauwatosa, WI

Provider details

NPI number: 1013963404
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Authorized official: Dudley Blank, Dir of Pharm
License: 21799020 (WI)

Practice location

1055 N Mayfair Rd

Wauwatosa, WI 53226-3436

Phone: (414) 479-8450

Fax: (414) 479-8670

More WI providers

Mailing address

1055 N Mayfair Rd

Wauwatosa, WI 53226-3436

Registry dates

Enumerated: 2006-05-26
Last updated: 2007-11-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.