# ALLEGIANCE INTERNAL MEDICINE SPECIALISTS, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699808196
- **Authorized official:** DR. ANDREW C KIM MD (PRESIDENT)
- **Authorized official phone:** (414) 479-1800

## Contact information

- **Practice address:** 2645 N MAYFAIR RD STE 200, WAUWATOSA, WI 53226-1304
- **Practice address phone:** (414) 479-1800
- **Practice address fax:** (414) 479-1813
- **Mailing address:** 2645 N MAYFAIR RD STE 200, WAUWATOSA, WI 53226-1304
- **Mailing address phone:** (414) 479-1800
- **Mailing address fax:** (414) 479-1813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | WI | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020