Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Carbon Health Medical Group of Wisconsin SC

Organization Family Medicine Physician · NPI 1912616194

Carbon Health Medical Group of Wisconsin SC provides Family Medicine Physician services in Wauwatosa, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

11415 W Burleigh St Ste 103
Wauwatosa, WI 53222-3217
Phone: (844) 234-7741
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1912616194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marley Page — Director · (417) 861-9739
NPI enumeratedNovember 16, 2022
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address2100 Franklin St Ste 355, Oakland, CA 94612-3140

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