Commonwealth Medical Group, Llc

LBN: Commonwealth Medical Group, Llc
Commonwealth Medical Group, Llc is an health care organization with primary practice located at 851 S 70Th St Suite 101, West Allis WI 53214-3147. The organization recently has 14 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Commonwealth Medical Group, Llc can be contacted via phone (414) 777-5100, or through Mutschelknaus, John A. via phone (414) 777-5100.

Contact Information

Primary practice address
851 S 70Th St Suite 101 West Allis WI 53214-3147
Fax: (414) 777-5112
Website:
Authorized official contact:
Name: Mutschelknaus, John A.

Profile Details

NPI number 1477500361
LBN Legal business name Commonwealth Medical Group, Llc
DBA Doing business as
Authorized official Mutschelknaus, John A.
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Oct 9th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477500361 NPPES
Wisconsin MEDICAID 21251000

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