Medical Mobile Specialists S.c.

NPI #1922441195 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1922441195
Entity Type: Organization
Organization Name: Medical Mobile Specialists S.c.
Primary Specialty: General Practice
Enumeration Date: Apr 8, 2013
Last Updated: Apr 8, 2013

Practice Location

Address: 347 PARK AVE
City: Pewaukee
State: Wisconsin
ZIP Code: 53072-3413
Phone: (262) 691-1000

Authorized Official

Name: DR. JEFFREY OSBOURNE, D.P.M.
Title: OWNER
Phone: (262) 691-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Dentist	122300000X
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Optometrist	152W00000X
Dermatology	207N00000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Podiatrist	213E00000X
Pedorthist	224L00000X
Physical Therapist	225100000X
Audiologist	231H00000X
Hearing Instrument Specialist	237700000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
General Practice	208D00000X	Primary

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