Organization
ALLEGIANCE INTERNAL MEDICINE SPECIALISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW C KIM MD (PRESIDENT)
(414) 479-1800
Entity
Organization
Contact information
Practice address
2645 N MAYFAIR RD STE 200, WAUWATOSA, WI 53226-1304
(414) 479-1800
(414) 479-1813
Mailing address
2645 N MAYFAIR RD STE 200, WAUWATOSA, WI 53226-1304
(414) 479-1800
(414) 479-1813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
WI
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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