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NPI Code Detail

MEDICARE: NEWTRO SC

MEDICARE: NEWTRO SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0203XRadiation Oncology Clinic/Center

General Provider Information

NPI Number : 1528940939
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEWTRO SC
Provider Business Mailing Address
First Line : 410 W FRANKLIN ST # 507
Second Line :
City : APPLETON
State : WI
Zip : 54911-4625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 W FRANKLIN ST # 507
Second Line :
City : APPLETON
State : WI
Zip : 54911-4625
Country : US
Telephone Number : 346-347-1673
Fax Number :
Authorized Official
Title or Position : PRACTICE DIRECTOR
Name : NICKOLAS LEWIS
Credential :
Telephone Number : 920-621-6897
Provider Enumeration Date : 07/24/2025
Last Update Date : 03/13/2026

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Directions to “NEWTRO SC ” Practice Location

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