# CSM COMMUNITY PHYSICIAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
- **Other names:** CSMCP Cardiac Rhythm Specialist
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366773780
- **Legal business name:** COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
- **Authorized official:** MS. DEBORAH E BJORN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (414) 298-7284

## Contact information

- **Practice address:** 2700 W 9TH AVE, SUITE 106, OSHKOSH, WI 54904-7247
- **Practice address phone:** (414) 298-7280
- **Practice address fax:** (414) 298-7281
- **Mailing address:** PO BOX 78309, MILWAUKEE, WI 53278-0001
- **Mailing address phone:** (414) 298-7280
- **Mailing address fax:** (414) 298-7281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/25/2010
- **Last updated:** 11/24/2010