Ascension Columbia St Mary's Hospital Milwaukee | |
13111 N Port Washington Rd Mequon WI 53097-2416 | |
(414) 270-4932 | |
Not Available |
Full Name | Ascension Columbia St Mary's Hospital Milwaukee |
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Speciality | Clinic/center - Multi-specialty |
Location | 13111 N Port Washington Rd, Mequon, 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 4425 N Port Washington Rd Glendale WI 53212-1082 Ph: (414) 326-2100 | Ascension Columbia St Mary's Hospital Milwaukee 13111 N Port Washington Rd Mequon WI 53097-2416 Ph: (414) 270-4932 |
NPI Number | 1710928221 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 09/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710928221 | NPI | - | NPPES |
21280300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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