NPI 1184506354

Integrated Wound Care Wisconsin Medical LLC

Organisation General Practice Physician Madison, WI

Practice location

Address: 33 E Main St STE 610, Madison, WI 53703-4655
Phone: (212) 734-6621
Mailing address: 492c Cedar Ln STE 514, Teaneck, NJ 07666-1713

Authorised official

Name: Diane Lusas
Title: Member
Phone: (212) 734-6621

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Wisconsin →

Registry record

NPI: 1184506354
Entity type: Organization
NPI issued: 21 Jul 2025
Record last updated: 15 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.