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

Milwaukee Occupational Medicine SC

Organization Family Medicine Physician · NPI 1174653596

Milwaukee Occupational Medicine SC provides Family Medicine Physician services in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

377 W River Woods Pkwy Ste 111
Glendale, WI 53212
Phone: (414) 967-0966
Fax: (414) 967-1035
Show map & directions

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

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X · Licence 37148020 (WI)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1174653596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vance Masci — Ceo · (414) 967-0966
NPI enumeratedMarch 6, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address377 West River Woods Parkway, Suite 111, Glendale, WI 53212

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