Organization
ALLEGIANCE MEDICAL, INC.
Active
Other names
Allegiance Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC M ELLIOT DMSC, PA-C (PRESIDENT)
(844) 726-3926
Entity
Organization
Contact information
Practice address
888 THACKERAY TRL STE 103, OCONOMOWOC, WI 53066-4342
(844) 726-3926
(844) 726-3926
Mailing address
925 GENESEE ST # 180620, DELAFIELD, WI 53018-9998
(844) 726-3926
(844) 726-3926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
06/27/2023
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