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Organization
RHEUMATOLOGY AND IMMUNOTHERAPY CENTER
Active
Organization
RHEUMATOLOGY AND IMMUNOTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN F WELLS MD (DIRECTOR)
(414) 768-0940
Entity
Organization
Contact information
Practice address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142
(414) 768-0940
Mailing address
200 E RYAN RD, SUITE 101, OAK CREEK, WI 53154-4533
(414) 768-0940
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
46013
WI
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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