OrganizationActive
Private Clinic.
NPI 1487438875 · Family Medicine Physician · Milwaukee, WI
Provider details
- NPI number
- 1487438875
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ania Person, President(262) 442-3912
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10501 W Research Drive
Suite G200
Milwaukee, WI 53226
Phone: (262) 442-3912
Fax: (414) 302-1040
Street-level locationGet directions
Mailing address
10501 W Research Drive
Milwaukee, WI 53226
Other names (DBA / former)
- Doing business as
- The Private Clinic
- Doing business as
- The Private Clinic
Registry dates
- Enumerated
- 2023-08-24
- Last updated
- 2023-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.