Healthcare Provider Details

I. General information

NPI: 1659012060
Provider Name (Legal Business Name): LINK HEALTHCARE, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4704 BAYBERRY ST
SCHOFIELD WI
54476-6097
US

IV. Provider business mailing address

4704 BAYBERRY ST
SCHOFIELD WI
54476-6097
US

V. Phone/Fax

Practice location:
  • Phone: 715-843-0366
  • Fax: 715-322-2084
Mailing address:
  • Phone: 715-843-0366
  • Fax: 715-322-2084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK WOZNIAK
Title or Position: PRESIDENT
Credential: PA
Phone: 715-843-0366