# 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:** 1801100243
- **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:** 2350 N LAKE DR, SUITE 206, MILWAUKEE, WI 53211-4528
- **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 |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 11/24/2010