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

Solidaritus Health Wisconsin SC

Organization Family Medicine Physician · NPI 1104711605

Solidaritus Health Wisconsin SC provides Family Medicine Physician services in Oconomowoc, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

915 Summit Ave
Oconomowoc, WI 53066-3921
Phone: (414) 348-8970
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104711605
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSolidaritus Health Wisconsin SC
Authorized official Georgia Smith — Practice Manager · (715) 461-0463
Other names Solidaritus Health Oconomowoc
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address1025 Connecticut Ave Nw Ste 907, Washington, DC 20036-5434

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