Childrens Hospital Of Wisconsin, INC.
Pediatrics in Milwaukee, WI. Organization (NPI-2).
NPI number1245308626
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1245308626
- Entity type
- Organization (NPI-2)
- Legal business name
- Childrens Hospital Of Wisconsin, INC.
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | – | – | |
| 207K00000X | Allergy & Immunology | – | – | |
| 207NP0225X | Dermatology, Pediatric Dermatology | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 208M00000X | Hospitalist | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 2251P0200X | Physical Therapist, Pediatrics | – | – | |
| 251B00000X | Case Management | – | WI | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | WI | |
| 261QM2500X | Clinic/Center, Medical Specialty | – | WI | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
9000 W Wisconsin AveMs 958
Milwaukee, WI 53226-4874
Phone 414-266-7615 · Fax 414-266-6238
Mailing address
9000 W Wisconsin AveMs 958
Milwaukee, WI 53226-4874
Phone 414-266-7615 · Fax 414-266-6238
Authorized official
Monica Ricca
Vp Revenue Cycle
4142662511
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