Provider Demographics
NPI:1760931026
Name:THREE OAKS HEALTH S.C.
Entity Type:Organization
Organization Name:THREE OAKS HEALTH S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MILFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:262-337-1068
Mailing Address - Street 1:480 VILLAGE WALK LN STE F
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53038-9540
Mailing Address - Country:US
Mailing Address - Phone:920-542-3010
Mailing Address - Fax:920-699-9699
Practice Address - Street 1:480 VILLAGE WALK LN STE F
Practice Address - Street 2:
Practice Address - City:JOHNSON CREEK
Practice Address - State:WI
Practice Address - Zip Code:53038-9540
Practice Address - Country:US
Practice Address - Phone:920-542-3010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-28
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty