# INFECTIOUS DISEASE SPECIALISTS, SC

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

## Provider details

- **NPI number:** 1740572619
- **Authorized official:** DEBRA MARIE THOMPSON M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (414) 385-1213

## Contact information

- **Practice address:** 2400 GOLF RD, PEWAUKEE, WI 53072-5590
- **Practice address phone:** (414) 385-1213
- **Practice address fax:** (414) 377-4821
- **Mailing address:** 3281 S SPRINGFIELD AVE, MILWAUKEE, WI 53207-3133
- **Mailing address phone:** (414) 385-1213
- **Mailing address fax:** (414) 377-4821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 48852-020 | WI | Yes |

## Other

- **Enumeration date:** 05/10/2011
- **Last updated:** 05/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 48852-020 | LICENSE | WI |