Pfaller, Adam

Pfaller, Adam is an individual health care provider with primary practice located at 9000 W Sura Ln , Milwaukee WI 53228-3477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Pfaller, Adam can be contacted via phone (414) 246-6800.

Contact Information

Primary practice address
9000 W Sura Ln Milwaukee WI 53228-3477
Phone: (414) 246-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 77082 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 77082 Wisconsin

Profile Details

NPI number 1922667575
LBN Legal business name Pfaller, Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2019
Last updated Oct 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922667575 NPPES
Wisconsin MEDICAID 100206014

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