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NPI Code Detail

MEDICARE: OAK CREEK URGENT CARE LLC

MEDICARE: OAK CREEK URGENT CARE LLC
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
1261QU0200XUrgent Care Clinic/Center261QU0200XWI
2208D00000XGeneral Practice PhysicianWI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2261QU0200XOTHERWIURGENT CARE

General Provider Information

NPI Number : 1760560148
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAK CREEK URGENT CARE LLC
Provider Business Mailing Address
First Line : 8201 S HOWELL AVE STE 400
Second Line :
City : OAK CREEK
State : WI
Zip : 53154-8336
Country : US
Telephone Number : 414-570-1122
Fax Number : 414-570-1120
Provider Business Practice Location Address
First Line : 8201 S HOWELL AVE STE 400
Second Line :
City : OAK CREEK
State : WI
Zip : 53154-8336
Country : US
Telephone Number : 414-570-1122
Fax Number : 414-570-1120
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. CRAIG LINDSEY SKOLD
Credential : M.D.
Telephone Number : 414-570-1122
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/22/2017

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Directions to “OAK CREEK URGENT CARE LLC ” Practice Location

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