Organization · Type 2 NPI

Milwaukee Occupational Medicine SC

Preventive Medicine/Occupational Environmental Medicine Physician · Glendale, WI

NPI number 1174653596 Active

Practice location

377 West River Woods Parkway, Suite 111
Glendale, WI 53212

Fax (414) 967-1035

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Preventive Medicine/Occupational Environmental Medicine Physician Primary 2083P0500X37148020 (WI)

Preventive Medicine/Occupational Environmental Medicine Physician: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

About NPI 1174653596

Milwaukee Occupational Medicine SC's National Provider Identifier is 1174653596, issued on Mar 6, 2007. The primary taxonomy on file is Preventive Medicine/Occupational Environmental Medicine Physician (2083P0500X), and the practice location is in Glendale, WI. The record was last updated on Sep 11, 2025.