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Organization

INFINITY HEALTHCARE PHYSICIANS, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 838-2371
Entity
Organization

Contact information

Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 290-6718
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6718
(414) 290-6755

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110008982
WEA
WI
05
32851400
WI
01
369450304
OWCP
WI
01
CD4252
MEDICARE RAILROAD
WI
Enumeration date
05/08/2006
Last updated
09/17/2019
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