Organization
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Active
Other names
Ascension Columbia St Mary's Hospital Ozaukee, Ascension Columbia St Mary's Hospital Milwaukee
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization
Contact information
Practice address
2350 N LAKE DR, MILWAUKEE, WI 53211
(414) 585-1000
Mailing address
PO BOX 860496, MINNEAPOLIS, MN 55486-0496
(414) 585-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32793800
—
WI
Enumeration date
05/26/2006
Last updated
12/30/2024
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