Individual provider · Type 1 NPI

Laura S. Oldenburg, PA

Physician Assistant · Wauwatosa, WI

NPI number 1104920107 Active

Practice location

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305

Call (414) 384-6700 Map

Fax (414) 727-1058

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1747023 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104920107

Laura S. Oldenburg, PA's National Provider Identifier is 1104920107, issued on Sep 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wauwatosa, WI. The record was last updated on Mar 3, 2020.