Individual
ALYSSA KALETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110
(414) 489-4051
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69555
WI
208M00000X
Hospitalist Physician
Primary
69555
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079483
—
WI
Enumeration date
03/27/2015
Last updated
07/22/2024
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