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NPI Code Detail

MEDICARE: ALYSSA OLDENBURG

MEDICARE:   ALYSSA  OLDENBURG
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1821920844
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA OLDENBURG
Provider Business Mailing Address
First Line : 385 E VETERANS WAY
Second Line :
City : MUKWONAGO
State : WI
Zip : 53149-2038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 385 E VETERANS WAY
Second Line :
City : MUKWONAGO
State : WI
Zip : 53149-2038
Country : US
Telephone Number : 262-363-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ ALYSSA OLDENBURG ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.