Organization
MEDICAL MANAGEMENT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL T WESTLEY (OWNER)
(414) 384-9880
Entity
Organization
Contact information
Practice address
2727 W CLEVELAND AVE, MILWAUKEE, WI 53215-2956
(414) 384-9880
(414) 384-0134
Mailing address
2727 W CLEVELAND AVE, MILWAUKEE, WI 53215-2956
(414) 384-9880
(414) 384-0134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32836600
—
WI
Enumeration date
05/02/2008
Last updated
10/13/2016
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