Organization
CARBON HEALTH MEDICAL GROUP OF WISCONSIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEY PAGE (DIRECTOR)
(417) 861-9739
Entity
Organization
Contact information
Practice address
11415 W BURLEIGH ST STE 103, WAUWATOSA, WI 53222-3217
(844) 234-7741
Mailing address
2100 FRANKLIN ST STE 355, OAKLAND, CA 94612-3140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/16/2022
Last updated
06/24/2025
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