Organization
ATHLENE A. ALEXIS, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHLENE A ALEXIS M.D. (PRESIDENT)
(414) 774-9227
Entity
Organization
Contact information
Practice address
10900 W POTTER RD, WAUWATOSA, WI 53226-3424
(414) 774-9227
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32112900
—
WI
Enumeration date
12/02/2006
Last updated
10/08/2007
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