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

Commonwealth Medical Group, LLC

Organization Registered Dietitian · NPI 1477500361

Commonwealth Medical Group, LLC is a Registered Dietitian in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
14
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

851 S 70th St Ste 101
West Allis, WI 53214-3147
Phone: (414) 777-5100
Fax: (414) 777-5112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Registered Dietitian Taxonomy 133V00000X · Licence 1314-029 (WI)
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Nuclear Cardiology Physician Taxonomy 207UN0901X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X
Physical Therapist Taxonomy 225100000X
Hand Physical Therapist Taxonomy 2251H1200X
Occupational Therapist Taxonomy 225X00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1477500361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Mutschelknaus — Executive Director · (414) 777-5100
NPI enumeratedMay 27, 2006
Last updated in NPPESOctober 9, 2007
Mailing address851 S 70th St, Suite 101, West Allis, WI 53214-3147

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