Organization
HYPERBARIC AND WOUND CARE ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL W HAYSSEN (BILLING MANAGER)
(414) 858-2206
Entity
Organization
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 385-8723
(414) 385-8721
Mailing address
9875 S FRANKLIN DR, FRANKLIN, WI 53132-8895
(414) 858-2206
(414) 858-2236
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32005
MEDICARE ID
WI
05
—
32882200
—
WI
01
—
71142
MEDICARE ID
WI
Enumeration date
04/11/2006
Last updated
02/22/2008
Update your record
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