MILWAUKEE OCCUPATIONAL MEDICINE SC – NPI #1174653596
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Health Care Provider Taxonomy Code for Preventive Medicine

MILWAUKEE OCCUPATIONAL MEDICINE SC is a provider located in GLENDALE, WI. NPPES has assigned the NPI number 1174653596 to MILWAUKEE OCCUPATIONAL MEDICINE SC on March 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MILWAUKEE OCCUPATIONAL MEDICINE SC below.

NPI Profile for
MILWAUKEE OCCUPATIONAL MEDICINE SC

NPI Number
1174653596
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MILWAUKEE OCCUPATIONAL MEDICINE SC
Primary location
377 WEST RIVER WOODS PARKWAY
SUITE 111
GLENDALE, WI 53212
Phone: (414) 967-0966 Fax: (414) 967-1035
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VANCE MASCI
CEO
Phone: (414) 967-0966
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)		 WI 37148020
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.