Milwaukee Internal Medicine Associates INC
Clinic/Center, Multi-Specialty in Milwaukee, WI. Organization (NPI-2).
NPI number1457531345
StatusActive
Last updated in NPPESSep 21, 2023
Details
- NPI
- 1457531345
- Entity type
- Organization (NPI-2)
- Legal business name
- Milwaukee Internal Medicine Associates INC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2007
- Certification date
- Sep 21, 2023
- Last updated
- Sep 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | 243073 | WI |
Practice location
7733 W Burleigh StMilwaukee, WI 53222-5003
Phone 414-837-6300 · Fax 414-763-3602
Mailing address
Po Box 806Grafton, WI 53024-0806
Phone 262-483-8162 · Fax 665-713-4918
Authorized official
Alok Goyal
President
4148376300
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