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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMPACT PHYSICIAN GROUP, WISCONSIN LLC

Active Organization

IMPACT PHYSICIAN GROUP, WISCONSIN LLC is a Internal Medicine organization located in MILWAUKEE, Wisconsin. NPI 1174291025 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MILWAUKEE, WI

Registration Details

NPI Number
1174291025
Provider Type
Organization
NPI Issued
Sep 3, 2021 (4.9825449703549 yrs)
Last Updated
Dec 19, 2022

Practice Information

Address
3200 S 103RD ST
MILWAUKEE, WI, 532274104
Browse WI providers · Browse ZIP 53227
Phone
4696406500
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.