Organization
AZH WOUND CENTER MKE SC
Active
Other names
AZH Wound Center MKE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE WAGNER (PRACTICE MANAGER)
(262) 577-0250
Entity
Organization
Contact information
Practice address
2500 W LAYTON AVE STE 30, MILWAUKEE, WI 53221-5436
(262) 577-0250
(262) 577-0251
Mailing address
2500 W LAYTON AVE, SUITE 30, MILWAUKEE, WI 53221-5420
(414) 269-5336
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
05/25/2016
Last updated
11/16/2021
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