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Organization
CSM COMMUNITY PHYSICIAN
Active
Organization
CSM COMMUNITY PHYSICIAN
Active
Parent organization
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
Other names
Ascension Columbia St Mary's Hospital Milwaukee
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
Authorized official
SUSAN DWYER (CFO)
(414) 465-3093
Entity
Organization
Contact information
Practice address
13133 N PORT WASHINGTON RD, SUITE 122, MEQUON, WI 53097-2419
(414) 298-7280
(414) 298-7281
Mailing address
PO BOX 773380, CHICAGO, IL 60677-3380
(262) 243-7300
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/27/2010
Last updated
07/17/2026
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