OrganizationActive
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NPI 1780032219 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Milwaukee, WI
Provider details
- NPI number
- 1780032219
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Valerie Wagner, Practice Manager
Practice location
2500 W Layton Ave Ste 30
Milwaukee, WI 53221-5436
Phone: (262) 577-0250
Fax: (262) 577-0251
Mailing address
2500 W Layton Ave
Milwaukee, WI 53221-5420
Registry dates
- Enumerated
- 2016-05-25
- Last updated
- 2021-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.