COMMONWEALTH MEDICAL GROUP, LLC

WEST ALLIS, WI
NPI1477500361
Entity TypeOrganization
Authorized ContactJOHN A. MUTSCHELKNAUS
Executive Director
414-777-5100
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
208000000X Pediatrics
2085R0202X Radiology, Diagnostic Radiology
207RC0000X Internal Medicine, Cardiovascular Disease
207RP1001X Internal Medicine, Pulmonary Disease
208100000X Physical Medicine & Rehabilitation
207UN0901X Nuclear Medicine, Nuclear Cardiology
2085U0001X Radiology, Diagnostic Ultrasound
225100000X Physical Therapist
2251H1200X Physical Therapist, Hand
363A00000X Physician Assistant
225X00000X Occupational Therapist
133V00000X Dietitian, Registered
(Licence: WI  1314-029)
Enumeration Date2006-05-27
Last Update Date2007-10-09
Business Address
COMMONWEALTH MEDICAL GROUP, LLC
851 S 70TH ST SUITE 101
WEST ALLIS, WI 53214-3147
Phone number: 414-777-5100
Mailing Address
COMMONWEALTH MEDICAL GROUP, LLC
851 S 70TH ST SUITE 101
WEST ALLIS, WI 53214-3147
Phone number: 414-777-5100