# COGENT HEALTHCARE OF WISCONSIN, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487696084
- **Authorized official:** LAURA FALL (MANAGER)
- **Authorized official phone:** (253) 682-6040

## Contact information

- **Practice address:** 2900 W OKLAHOMA AVE, SUITE D2121, MILWAUKEE, WI 53215-4330
- **Practice address phone:** (414) 385-2590
- **Mailing address:** 120 BRENTWOOD COMMONS WAY STE 510, BRENTWOOD, TN 37027-2028
- **Mailing address phone:** (253) 682-6040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 05/07/2025