# MARITIME FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Creek Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457497943
- **Authorized official:** MR. STEPHEN ALLEN SMITH BS (MANAGER VICE PRESIDENT)
- **Authorized official phone:** (414) 764-0920

## Contact information

- **Practice address:** 8825 S HOWELL AVE, OAK CREEK, WI 53154-3760
- **Practice address phone:** (414) 764-0920
- **Practice address fax:** (414) 764-8134
- **Mailing address:** 8825 S HOWELL AVE, OAK CREEK, WI 53154-3760
- **Mailing address phone:** (414) 764-0920
- **Mailing address fax:** (414) 764-8134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020