- Practice location
- 1800 New York Ave, Superior, WI 54880-2008
- Phone
- 201-870-1194
- Fax
- —
- Last updated
- October 11, 2019
Integrated Wound Care Management Wisconsin LLC is a healthcare organization based in Superior, WI. Integrated Wound Care Management Wisconsin LLC practices in Superior, WI. The NPI Number for Integrated Wound Care Management Wisconsin LLC is 1154963049. The current practice location address for Integrated Wound Care Management Wisconsin LLC is 1800 New York Ave, Superior, WI 54880-2008 and can be reached out via phone at 201-870-1194.
Provider Profile Details
- NPI Number
- 1154963049
- Provider Name
- Integrated Wound Care Management Wisconsin LLC
- Provider Entity Type
- Organization
- Address
- 1800 New York Ave, Superior, WI 54880-2008
- Phone Number
- 201-870-1194
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Diane Lusas, MD · Member · 732-451-4318
- Provider Enumeration Date
- October 11, 2019
- Last Update Date
- October 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1800 New York Ave
Superior, WI 54880-2008 - City
- Superior
- State
- Wisconsin
- Zip
- 54880-2008
- Phone Number
- 201-870-1194
Provider Business Mailing Address Details
- Address
- 492C Cedar Ln Ste 513
Teaneck, NJ 07666-1713 - City
- Teaneck
- State
- NJ
- Zip
- 07666-1713
License Information
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Superior, WI
View all General Practice providers in Superior →Frequently Asked Questions
What is the NPI number of Integrated Wound Care Management Wisconsin LLC?
The NPI number of Integrated Wound Care Management Wisconsin LLC is 1154963049. It was assigned on October 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Integrated Wound Care Management Wisconsin LLC?
Integrated Wound Care Management Wisconsin LLC is registered under the primary taxonomy General Practice (code 208D00000X).
Where does Integrated Wound Care Management Wisconsin LLC practice?
The practice location is 1800 New York Ave, Superior, WI 54880-2008. The office can be reached at 201-870-1194 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154963049 directly on the NPPES registry website.