Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Milwaukee Occupational Medicine SC

Organization Family Medicine Physician · NPI 1174653596

Milwaukee Occupational Medicine SC is a Family Medicine Physician in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

377 W River Woods Pkwy Ste 111
Glendale, WI 53212
Phone: (414) 967-0966
Fax: (414) 967-1035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X · Licence 37148020 (WI)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1174653596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vance Masci — Ceo · (414) 967-0966
NPI enumeratedMarch 6, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address377 West River Woods Parkway, Suite 111, Glendale, WI 53212

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