Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Affiliated Health of Wisconsin Ltd

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1063433977

Affiliated Health of Wisconsin Ltd is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Wauwatosa, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2626 N 76th St Ste 105
Wauwatosa, WI 53213-1137
Phone: (414) 774-7794
Fax: (414) 607-3971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Physical Therapist Taxonomy 225100000X
Computed Tomography Radiologic Technologist Taxonomy 2471C3401X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1063433977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Mackman — Director · (414) 476-9400
NPI enumeratedJuly 23, 2006
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137

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