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

Wisconsin Avenue Medical Clinic, SC

Organization Family Medicine Physician · NPI 1578510798

Wisconsin Avenue Medical Clinic, SC is a Family Medicine Physician in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

3505 W Wisconsin Ave
Milwaukee, WI 53208-3847
Phone: (414) 344-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45129 (WI)

Record details

NPI number1578510798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivas Bramhadevi — President/Owner · (262) 352-2187
NPI enumeratedMay 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1020 E Amber Ln, Oak Creek, WI 53154-3349

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