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

Archwell Health Professional Services of Wisconsin, SC

Organization Family Medicine Physician · NPI 1164228797

Archwell Health Professional Services of Wisconsin, SC is a Family Medicine Physician in Milwaukee, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4

Practice location Address checks out

2730 N Martin Luther King Dr
Milwaukee, WI 53212-2312
Phone: (414) 508-0002
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1164228797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Moddesette — Sr. Director, Managed Care Ops · (913) 226-8221
Other names Archwell Health
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250

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