Organization
WEST ALLIS ORTHOPEDIC CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN K. KRUG M.D. (PRESIDENT)
(414) 321-2255
Entity
Organization
Contact information
Practice address
9400 W LINCOLN AVE, WEST ALLIS, WI 53227-2306
(414) 321-2255
(414) 321-2091
Mailing address
9400 W LINCOLN AVE, WEST ALLIS, WI 53227-2306
(414) 321-2255
(414) 321-2091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32739600
—
WI
Enumeration date
08/30/2006
Last updated
07/07/2008
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