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NPI Code Detail

MEDICARE: CHILDREN'S HOSPITAL OF WISCONSIN

MEDICARE: CHILDREN'S HOSPITAL OF WISCONSIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1831437581
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S HOSPITAL OF WISCONSIN
Provider Business Mailing Address
First Line : 9000 W WISCONSIN AVE
Second Line : MS 958
City : MILWAUKEE
State : WI
Zip : 53226-4874
Country : US
Telephone Number : 414-266-7615
Fax Number : 414-266-6238
Provider Business Practice Location Address
First Line : 619 W WALNUT ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-3839
Country : US
Telephone Number : 414-277-8980
Fax Number : 414-277-8969
Authorized Official
Title or Position : TREASURER/CHIEF FINANCIAL OFFICER
Name : CADIEUX MARC
Credential :
Telephone Number : 414-266-6401
Provider Enumeration Date : 01/30/2013
Last Update Date : 01/04/2016

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Directions to “CHILDREN'S HOSPITAL OF WISCONSIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.