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NPI Code Detail

MEDICARE: OAK MEDICAL WOUND SERVICES SC

MEDICARE: OAK MEDICAL WOUND SERVICES 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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1699653485
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAK MEDICAL WOUND SERVICES SC
Provider Business Mailing Address
First Line : N20W22961 WATERTOWN RD
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1308
Country : US
Telephone Number : 262-875-5070
Fax Number :
Provider Business Practice Location Address
First Line : N20W22961 WATERTOWN RD
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1308
Country : US
Telephone Number : 262-875-5070
Fax Number :
Authorized Official
Title or Position : CFO
Name : BRADLY ANDERSON
Credential :
Telephone Number : 262-875-5070
Provider Enumeration Date : 08/21/2025
Last Update Date : 08/21/2025

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