NPI 1104884212

Allergy Clinic of Milwaukee Sc

Organisation Allergy Physician Milwaukee, WI

Practice location

Address: 324 E Wisconsin Ave 900, Milwaukee, WI 53202-4300
Phone: (414) 271-4204
Fax: (414) 271-0373

Authorised official

Name: Wayne Hansen
Title: Administrator
Phone: (414) 271-4204

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X

Other Allergy & Immunology providers in Wisconsin →

Registry record

NPI: 1104884212
Entity type: Organization
NPI issued: 1 May 2006
Record last updated: 2 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.