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9000 W Wisconsin Ave Ste 240 Milwaukee WI 53226-4874 | |
| (414) 337-3400 | |
| (414) 337-3409 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9000 W Wisconsin Ave Ste 240, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Smriti S Khare (PRESIDENT, CHILDREN'S MEDICAL GROUP) |
| Authorized Official Contact | 4147645726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9000 W Wisconsin Ave # Ms 958 Milwaukee WI 53226-4874 Ph: (414) 266-7615 | 9000 W Wisconsin Ave Ste 240 Milwaukee WI 53226-4874 Ph: (414) 337-3400 |
| NPI Number | 1891416269 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891416269 | NPI | - | NPPES |
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