Laura S Oldenburg, PA
Physician Assistant in Wauwatosa, WI. Individual provider (NPI-1).
NPI number1104920107
StatusActive
Last updated in NPPESMar 3, 2020
Details
- NPI
- 1104920107
- Entity type
- Individual (NPI-1)
- Name
- Laura S Oldenburg
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2006
- Certification date
- Mar 3, 2020
- Last updated
- Mar 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1747023 | WI | Yes |
Practice location
3077 N Mayfair Rd Ste 305Wauwatosa, WI 53222-4305
Phone 414-384-6700 · Fax 414-727-1058
Mailing address
3077 N Mayfair Rd Ste 305Wauwatosa, WI 53222-4305
Phone 414-384-6700 · Fax 414-727-1058
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All 83 Physician Assistant providers in Wauwatosa · All 2,300 providers in Wauwatosa
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