Organization
ADVOCATE AURORA HEALTHCARE
Active
Other names
Aurora Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
IFEANYI OSUDE DPT (PHYSICAL THERAPIST)
(815) 404-9290
Entity
Organization
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
815 LINCOLN DR W APT 7, WEST BEND, WI 53095-4754
(815) 404-9290
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14480
—
WI
Enumeration date
02/03/2019
Last updated
02/03/2019
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