Organization
INFINITY HEALTHCARE PHYSICIANS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 290-6720
(414) 290-6773
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6773
Taxonomy
Speciality
Code
Description
License number
State
2080T0002X
Pediatric Medical Toxicology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110008982
WEA
WI
05
—
32851400
—
WI
01
—
CD4252
RAILROAD MEDICARE
WI
Enumeration date
08/21/2007
Last updated
09/17/2019
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