Individual
WILLIAM C. O'MEALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5007 S HOWELL AVE, MILWAUKEE, WI 53207-6157
(414) 483-7777
(414) 483-7914
Mailing address
6617 W WELLS ST, WAUWATOSA, WI 53213-3910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39590
WI
207Q00000X
Family Medicine Physician
D0074982
MD
2083X0100X
Occupational Medicine Physician
39590
WI
Other
Enumeration date
03/29/2007
Last updated
05/31/2013
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