NPI | 1912109893 |
---|---|
Doing Business As | COMMONWEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JOHN MUTSCHELKNAUS CEO 414-777-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 14134) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2007-09-19 |