Allergy Clinic of Milwaukee SC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

ALLERGY CLINIC OF MILWAUKEE SC

Practice address

324 E Wisconsin Ave
900
Milwaukee, WI 53202-4300

Phone

(414) 271-4204

Fax

(414) 271-0373

NPI assigned

May 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wayne Hansen, MBA

Title

Administrator

Phone

(414) 271-4204

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1104884212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E WISCONSIN AVE",
            "address_2": "900",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024300",
            "telephone_number": "414-271-4204",
            "fax_number": "414-271-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E WISCONSIN AVE",
            "address_2": "900",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024300",
            "telephone_number": "414-271-4204",
            "fax_number": "414-271-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY CLINIC OF MILWAUKEE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-271-4204",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Nicole Allen, QTT
• Rochelle Allen, CNA
• Samantha A Allen
• Suzette R. Allen, CNA
• Valerie Allen, CSAC
• Allergy Specilaists, SC
• Alliance Community Services LLC
• Alliance Diagnostics Lab
• Alliance ENT & Hearing Center, S.C.
• Alliance ENT and Hearing Center, SC

• All providers in Milwaukee, WI
• Allergy Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.