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

Mobile Wound Care SC

Organization Wound Care Registered Nurse · NPI 1649002734

Mobile Wound Care SC is a Wound Care Registered Nurse in Milwaukee, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

111 E Wisconsin Ave Ste 1925
Milwaukee, WI 53202-4825
Phone: (414) 323-0260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Wound Care Registered Nurse Taxonomy 163WW0000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1649002734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Stout — Manager · (337) 315-7927
NPI enumeratedAugust 16, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address111 E Wisconsin Ave Ste 1705, Milwaukee, WI 53202-4811

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