Commonwealth Medical Group, LLC
NPI #1477500361 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1477500361
- Entity Type
- Organization
- Organization Name
- Commonwealth Medical Group, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 27, 2006
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 851 S 70TH ST
- Address 2
- SUITE 101
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-3147
- Phone
- (414) 777-5100
Authorized Official
- Name
- MR. JOHN A. MUTSCHELKNAUS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (414) 777-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Pediatrics |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Physical Medicine & Rehabilitation |
| Nuclear Medicine - Nuclear Cardiology — Nuclear Cardiology |
| Radiology - Diagnostic Ultrasound — Diagnostic Ultrasound |
| Physical Therapist |
| Physical Therapist - Hand — Hand |
| Physician Assistant |
| Occupational Therapist |
| Dietitian, Registered |
| Internal Medicine |
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