MEDICARE: GLOBAL WIG SUPPLY

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
1	1744P3200X	Prosthetics Case Management

General Provider Information

NPI Number	:	1437022282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL WIG SUPPLY

Provider Business Mailing Address
First Line	:	6622 N 43RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-3016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 W SILVER SPRING DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-4035
Country	:	US
Telephone Number	:	414-350-6997
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARIE ORTIZ
Credential	:
Telephone Number	:	414-350-6997

Provider Enumeration Date	:	09/27/2025
Last Update Date	:	09/27/2025

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Directions to “GLOBAL WIG SUPPLY ” Practice Location

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