Integrated Wound Care Wisconsin Medical LLC

NPI #1184506354 in Madison, Wisconsin

Provider Information

NPI Number: 1184506354
Entity Type: Organization
Organization Name: Integrated Wound Care Wisconsin Medical LLC
Primary Specialty: General Practice
Enumeration Date: Jul 21, 2025
Last Updated: Jul 21, 2025

Practice Location

Address: 33 E MAIN ST STE 610
City: Madison
State: Wisconsin
ZIP Code: 53703-4655
Phone: (212) 734-6621

Authorized Official

Name: DIANE LUSAS
Title: MEMBER
Phone: (201) 870-1194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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