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Organization

CHILDREN'S HOSPITAL OF WISCOSNIN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY L BIRKENSTOCK (TREASURER/CHIEF FINANCIAL OFFICER)
(414) 266-6401
Entity
Organization

Contact information

Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
(414) 266-6219
Mailing address
PO BOX 1997, MILWAUKEE, WI 53201-1997
(414) 266-2000
(414) 266-6219

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2417
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750482022
WI
Enumeration date
04/20/2011
Last updated
04/20/2011
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