Organization
ALLERGY & ASTHMA CENTERS,S.C.
Active
Other names
ALLERGY CENTERS OF MILWAUKEE,S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY S GRAVES M.D. (PRESIDENT)
(414) 475-9101
Entity
Organization
Contact information
Practice address
2500 N MAYFAIR RD, SUITE 220, WAUWATOSA, WI 53226-1409
(414) 475-9101
(414) 475-9203
Mailing address
8104 BROOKSIDE PL, WAUWATOSA, WI 53213-3318
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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