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

Integrated Wound Care Management Wisconsin LLC

Organization General Practice Physician · NPI 1154963049

Integrated Wound Care Management Wisconsin LLC provides General Practice Physician services in Superior, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1800 New York Ave
Superior, WI 54880-2008
Phone: (201) 870-1194
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1154963049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Lusas — Member · (732) 451-4318
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019
Mailing address492c Cedar Ln Ste 513, Teaneck, NJ 07666-1713