| Organization Name: | OAK CREEK MEDICAL & OCCUPATIONAL L.L.C. |
| NPI Number: | 1356414288 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN H MAHLER (PRESIDENT) |
| Mailing Address: | 7625 S Howell Ave #100 Oak Creek |
| State: | WI US |
| Postal Code: | 531542112 |
| Phone Number: | 4147660277 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |