NPI 1356260129

Wisconsin Athletic Club, LLC

Organisation Health Maintenance Organization Glendale, WI

Practice location

Address: 7601 N Port Washington Rd, Glendale, WI 53217-3128
Phone: (414) 228-2800
Mailing address: 10840 W Rogers St, West Allis, WI 53227-1135

Authorised official

Name: Kurt Alt
Title: Physical Therapist
Phone: (414) 228-2800

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1356260129
Entity type: Organization
NPI issued: 14 Jul 2026
Record last updated: 14 Jul 2026

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.