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Organization
ALLERGY CLINIC OF MILWAUKEE SC
Active
Organization
ALLERGY CLINIC OF MILWAUKEE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE HANSEN MBA (ADMINISTRATOR)
(414) 271-4204
Entity
Organization
Contact information
Practice address
324 E WISCONSIN AVE, 900, MILWAUKEE, WI 53202-4300
(414) 271-4204
(414) 271-0373
Mailing address
324 E WISCONSIN AVE, 900, MILWAUKEE, WI 53202-4300
(414) 271-4204
(414) 271-0373
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
05/01/2006
Last updated
03/02/2011
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