# HOSPITALIST MEDICINE PHYSICIANS OF WISCONSIN, LTD

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

## Provider details

- **NPI number:** 1699902809
- **Authorized official:** LAURA FALL (MANAGER)
- **Authorized official phone:** (253) 682-6040

## Contact information

- **Practice address:** 6308 8TH AVE, KENOSHA, WI 53143-5031
- **Practice address phone:** (262) 656-2011
- **Mailing address:** 5410 MARYLAND WAY, SUITE \#300, BRENTWOOD, TN 37027-5064
- **Mailing address phone:** (615) 377-5658
- **Mailing address fax:** (888) 241-1404

## Taxonomy

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

## Other

- **Enumeration date:** 06/15/2009
- **Last updated:** 03/07/2025
