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Infinity Healthcare Physicians, S.C.

Emergency Medicine in Glendale, WI. Organization (NPI-2).

NPI number1831537562
StatusActive
Last updated in NPPESSep 17, 2019

Details

NPI
1831537562
Entity type
Organization (NPI-2)
Legal business name
Infinity Healthcare Physicians, S.C.
Organization subpart
No
Enumeration date
Jun 4, 2013
Last updated
Sep 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––

Practice location

375 West Riverwoods Parkway
Glendale, WI 53212-1080

Phone 414-290-6720 · Fax 414-290-6755

Mailing address

111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815

Phone 414-290-6720 · Fax 414-290-6755

Authorized official

Kathleen Kondas
Officer
9548382371

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