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

Laura S Oldenburg, PA

Individual provider Physician Assistant · NPI 1104920107

Laura S Oldenburg, PA is a Physician Assistant in Wauwatosa, Wisconsin. Qualified in 2004, 22 years ago. Practices with Orthopedic Surgeons of Wisconsin SC, a 62-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305
Phone: (414) 384-6700
Fax: (414) 727-1058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1747023 (WI)

Record details

NPI number1104920107
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 11, 2006
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Orthopedic Surgeons Of Wisconsin Sc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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