Contact Independent Physicians Network

Please contact us with the form below or call (414) 771-6177.

See the map for directions to our office.

First Name

Last Name

Practice Name

Office Phone

Office Fax

Cell Phone

Preferred Method of Communication

Office Phone

Cell Phone

Office Fax

Please select your primary method of communication.

Medical Specialty

Please check all medical specialties you provide and/or are board certified to provide. If you practice more than one specialty select by holding down the CTRL (control) key while clicking on that specialty.

I am interested In Joining IPN

Yes

Need More Information

Additional Information You'd Like to Share with Us

I am interested in participating in the following IPN Committees

Board Of Directors

Accountable Care

Credentialing Committee

Medical Review Committee

Medicare Management Committee

Medicare Care Coordination/Quality Committee

Captcha *

reCAPTCHA is required.

Independent Physicians Network

6767 W. Greenfield Ave.
Suite 300
Milwaukee, WI 53214
Directions

(414) 771-6177

Contact Us

Contact Independent Physicians Network

Independent Physicians Network