Organization
MIDWEST INFECTIOUS DISEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C CHRISTIANSON MD (PRESIDENT)
(414) 649-3872
Entity
Organization
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-3872
(414) 375-0192
Mailing address
1210 S JAMES ST, BROOKFIELD, WI 53005-7191
(414) 649-3872
(414) 375-0192
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
27387-20
WI
Other
Enumeration date
03/25/2011
Last updated
03/29/2011
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