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Organization
OAK MEDICAL SC
Active
Organization
OAK MEDICAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHTAB SIDHU M.D. (MEDICAL DIRECTOR)
(262) 875-5070
Entity
Organization
Contact information
Practice address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1308
(262) 875-5070
(866) 384-9486
Mailing address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1308
(262) 875-5070
(866) 384-9486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/02/2017
Last updated
06/02/2026
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