Bradley C Heraly
Hematology & Oncology
1726 Shawano Avenue Green Bay Oncology
Green Bay
, Wisconsin 54303
Bradley C Heraly
Hematology & Oncology
1726 Shawano Avenue Green Bay Oncology
Green Bay
, Wisconsin 54303
(920) 884-3135
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Bradley C Heraly
- 1726 Shawano Avenue Green Bay Oncology
- Green Bay, WI
- Zip : 54303
- Phone : (920) 884-3135
Second Address
- Bradley C Heraly
- 1726 Shawano Avenue Green Bay Oncology
- Green Bay, WI
- Zip : 54303
- Phone : (920) 884-3135
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 57132-20 | WI |
National Provider Identifier
| NPI | 1063730042 |
|---|---|
| Provider Name | Bradley C Heraly |
| First Address | Green Bay, WI 54303 |
| Second Address | Green Bay, WI 54303 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2010 |
| Last Update Date | 20/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.