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AZH WOUND CENTER MKE SC NPI 1780032219


NPI Information

NPI: 1780032219
Provider Name: AZH WOUND CENTER MKE SC

Former Legal Business Name: AZH WOUND CENTER MKE LLC

Classification: Emergency Medicine - 207PE0005X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

CLIA Number: 52D2123905

Address:
2500 W LAYTON AVE STE 30
MILWAUKEE, WI
ZIP 53221
Phone: (262) 577-0250
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AZH WOUND CENTER MKE SC is an undersea and hyperbaric medicine emergency medicine in Milwaukee, WI. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. AZH WOUND CENTER MKE SC NPI is 1780032219. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Azh Wound Center Mke Llc.

The provider's business location address is:

2500 W LAYTON AVE STE 30
MILWAUKEE, WI
ZIP 53221-436
Phone: (262) 577-0250
Fax: (262) 577-0251

The provider's authorized official is Valerie Wagner .
The authorized official title is Practice Manager and has the following contact phone number (262) 577-0250.

The CLIA number assigned to this NPI record is 52D2123905 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 11/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryNo
2207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineYes

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: 4/28/2024

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