WAUKESHA MEDICAL SERVICES LLC NPI 1396287355

NPI Information

NPI: 1396287355
Provider Name: WAUKESHA MEDICAL SERVICES, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 52D2183045

Address:
1239 CORPORATE CENTER DR
OCONOMOWOC, WI
ZIP 53066
Phone: (262) 569-8346
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WAUKESHA MEDICAL SERVICES, LLC is an ambulatory surgical clinic center in Oconomowoc, WI. WAUKESHA MEDICAL SERVICES, LLC NPI is 1396287355. The provider is registered as an organization entity type.

The provider's business location address is:

1239 CORPORATE CENTER DR
OCONOMOWOC, WI
ZIP 53066-898
Phone: (262) 569-8346

The provider's authorized official is Bruce William Cardone .
The authorized official title is Medical Director and has the following contact phone number (262) 349-9371.

The CLIA number assigned to this NPI record is 52D2183045 - other - charitable free medical with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2016 and was last updated on 11/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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