Individual
DR. ATHLENE A. ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10200 W INNOVATION DR, SUITE 700, MILWAUKEE, WI 53226-4825
(414) 302-9196
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34901
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050049470
RAIL ROAD MEDICARE
—
05
—
32112900
—
WI
Enumeration date
11/25/2005
Last updated
02/09/2009
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