# ALLEGIANCE MEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allegiance Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831862895
- **Authorized official:** ERIC M ELLIOT DMSC, PA-C (PRESIDENT)
- **Authorized official phone:** (844) 726-3926

## Contact information

- **Practice address:** 888 THACKERAY TRL STE 103, OCONOMOWOC, WI 53066-4342
- **Practice address phone:** (844) 726-3926
- **Practice address fax:** (844) 726-3926
- **Mailing address:** 925 GENESEE ST \# 180620, DELAFIELD, WI 53018-9998
- **Mailing address phone:** (844) 726-3926
- **Mailing address fax:** (844) 726-3926

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2021
- **Last updated:** 06/27/2023