Provider Demographics
NPI:1982793485
Name:AFFILIATED IINFECTIOUS DISEASE CONSULTANTS OF WISCONSIN SC
Entity Type:Organization
Organization Name:AFFILIATED IINFECTIOUS DISEASE CONSULTANTS OF WISCONSIN SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VINITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-647-1537
Mailing Address - Street 1:2025 W OKLAHOMA AVE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-4455
Mailing Address - Country:US
Mailing Address - Phone:414-647-5137
Mailing Address - Fax:414-647-1560
Practice Address - Street 1:2025 W OKLAHOMA AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-4455
Practice Address - Country:US
Practice Address - Phone:414-647-5137
Practice Address - Fax:414-647-1560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty