Healthcare Provider Details

I. General information

NPI: 1992863161
Provider Name (Legal Business Name): PEDIATRIC AND ADULT MEDICINE ASSOCIATES S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 03/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 N 27TH ST
MILWAUKEE WI
53208-4029
US

IV. Provider business mailing address

535 N 27TH ST
MILWAUKEE WI
53208-4029
US

V. Phone/Fax

Practice location:
  • Phone: 414-345-3000
  • Fax: 414-345-3001
Mailing address:
  • Phone: 414-345-3000
  • Fax: 414-345-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: VIOLETA A. SINGSON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 414-345-3000