Organization
CHILDREN'S MEDICAL GROUP
Active
Parent organization
CHILDREN'S MEDICAL GROUP
Other names
Mount Pleasant Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S MEDICAL GROUP
Authorized official
DR. SMRITI KHARE M.D. (PRESIDENT - CHILDREN'S MEDICAL GROU)
(414) 266-7615
Entity
Organization
Contact information
Practice address
8800 WASHINGTON AVE, SUITE 300, MOUNT PLEASANT, WI 53406-3701
(262) 664-7423
(262) 664-7424
Mailing address
9000 W WISCONSIN AVE, MAIL STATION 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174999262
—
WI
Enumeration date
08/12/2015
Last updated
09/14/2015
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