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7720 W Good Hope Rd Milwaukee WI 53223-4516 | |
| (414) 536-0236 | |
| (414) 536-0260 |
| Full Name | |
|---|---|
| Speciality | Pediatrics |
| Location | 7720 W Good Hope Rd, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Smriti Khare (PRESIDENT, CHILDREN'S MEDICAL GROUP) |
| Authorized Official Contact | 4142667615 |
| 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 | 7720 W Good Hope Rd Milwaukee WI 53223-4516 Ph: (414) 536-0236 |
| NPI Number | 1255506598 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255506598 | NPI | - | NPPES |
| 32863700 | Medicaid | WI |
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