OrganizationActive
Milwaukee Occupational Medicine Sc
NPI 1174653596 · Preventive Medicine/Occupational Environmental Medicine Physician · Glendale, WI
Provider details
- NPI number
- 1174653596
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vance Masci, Ceo(414) 967-0966
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense 37148020 (WI)
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
377 West River Woods Parkway
Suite 111
Glendale, WI 53212
Phone: (414) 967-0966
Fax: (414) 967-1035
Approximate (ZIP-level) locationGet directions
Mailing address
377 West River Woods Parkway
Glendale, WI 53212
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.