| 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.
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