# COMPASSUS AAH OF WISCONSIN V, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Compassus - Milwaukee Metro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265113971
- **Authorized official:** RUSSELL ADKINS (SVP, CHIEF LEGAL OFFICER)
- **Authorized official phone:** (615) 309-5668

## Contact information

- **Practice address:** 2525 N 124TH ST STE 103, BROOKFIELD, WI 53005-4613
- **Practice address phone:** (414) 455-9510
- **Practice address fax:** (844) 887-8728
- **Mailing address:** 10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
- **Mailing address phone:** (615) 637-9163
- **Mailing address fax:** (615) 373-4457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/26/2023
- **Last updated:** 07/26/2023
