Infinity Healthcare Physicians, S.c.

NPI 1053360933 - Physician Assistant - 363A00000X

NPI Details
NPI 1053360933
Enumeration Date 05/09/2006
Last Updated 10/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GREGORY A GREGORY
Position PRESIDENT & CHIEF OPERATING OFFICER
Phone (414) 290-6720
Fax (414) 290-6755
Practice Location
13111 N PORT WASHINGTON RD
COLUMBIA ST. MARY'S - OZAUKEE CAMPUS
MEQUON WI, 53097-2416, US
Phone (414) 290-6720
Fax (414) 290-6755
Business Location
111 E WISCONSIN AVE
SUITE 2000
MILWAUKEE WI, 53202-4815, US
Phone (414) 290-6720
Fax (414) 290-6755
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
Remove 1053360933 NPI Number
 

According to our database, Infinity Healthcare Physicians, S.c. NPI is 1053360933, taxonomy code is 363A00000X Infinity Healthcare Physicians, S.c. physically located at 13111 N Port Washington Rd, Mequon WI, 53097-2416. NPI Number 1033115704 has the healthcare provider type.

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1053360933 NPI number is provided on an as is basis without warranty of any kind. 1053360933 is maintained by the National Plan & Provider Enumeration System. The contents of Infinity Healthcare Physicians, S.c. are for informational purposes only.