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General NPI Number Information
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NPI Number | 1023065356
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Entity Type | Organization
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Legal Business Name | MERCY MEDICAL CENTER OF OSHKOSH, INC.
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 500 S OAKWOOD RD
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City | OSHKOSH
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State | WI
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Zip | 54904-7944
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Country | US
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Telephone | 920-720-1464
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Fax | 920-720-1728
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Provider Business Mailing Address
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Address Line | 500 S OAKWOOD RD
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City | OSHKOSH
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State | WI
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Zip | 54904-7944
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Country | US
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Telephone | 920-720-1464
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Fax | 920-720-1728
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL MCCULLOUGH
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Credential |
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Telephone | 414-465-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 186
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License Number State | WI
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