| Ascension Columbia St Mary's Hospital Milwaukee | |
|
2323 N Lake Drive Milwaukee WI 53211-4508 | |
| (414) 585-1000 | |
| Not Available |
| Full Name | Ascension Columbia St Mary's Hospital Milwaukee |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2323 N Lake Drive, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Matthew Hanselman (CFO) |
| Authorized Official Contact | 4144653000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee Po Box 860496 Minneapolis MN 55486-0496 Ph: (414) 585-1000 | Ascension Columbia St Mary's Hospital Milwaukee 2323 N Lake Drive Milwaukee WI 53211-4508 Ph: (414) 585-1000 |
| NPI Number | 1811926132 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811926132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 111 (Wisconsin) | Primary |
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