# CSM COMMUNITY PHYSICIAN

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- **Entity:** Organization
- **Status:** 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:** 1518271956
- **Legal business name:** COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
- **Authorized official:** SUSAN DWYER (CFO)
- **Authorized official phone:** (414) 465-3093

## Contact information

- **Practice address:** 13133 N PORT WASHINGTON RD, SUITE 122, MEQUON, WI 53097-2419
- **Practice address phone:** (414) 298-7280
- **Practice address fax:** (414) 298-7281
- **Mailing address:** PO BOX 773380, CHICAGO, IL 60677-3380
- **Mailing address phone:** (262) 243-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/17/2026