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Contact Information

MOBILE WOUND CARE SC
111 E WISCONSIN AVE STE 1925
MILWAUKEE, WI53202-4825
 Phone: 414-323-0260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for MOBILE WOUND CARE SC

NPI Number 1649002734
LBN Legal business name MOBILE WOUND CARE SC
Authorized official TYLER STOUT - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2024
Last updated 12/27/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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