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Bevan Ly
Radiation Oncology Physician in Weston, Wisconsin
NPI 1730405143

Bevan Ly is a Radiation Oncology Physician based in Weston, WI and is specialized in Radiation Oncology. Bevan Ly practices in Weston, WI. The NPI Number for Bevan Ly is 1730405143 and holds a License No. 19198 (Wisconsin).

The current practice location address for Bevan Ly is 3501 Cranberry Blvd, Weston, WI and can be reached out via phone at 715-393-1000.

Location: 3501 Cranberry Blvd, Weston, WI, 54476-5213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730405143
Provider Name
Bevan Ly
Credential
Provider Entity Type
Individual
Gender
Male
Address
3501 Cranberry Blvd, Weston, WI, 54476-5213
Phone Number
715-393-1000
Fax Number
Provider Enumeration Date
04/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3501 Cranberry Blvd
City
Weston
State
Wisconsin
Zip
54476-5213
Phone Number
715-393-1000
Fax Number
person
Provider Business Mailing Address Details
Address
3501 Cranberry Blvd
City
Weston
State
Wisconsin
Zip
54476-5213
Phone Number
715-393-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
()
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
19198 (Hawaii)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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