Organization
CHILDRENS HOSPITAL OF WISCONSIN INC
Active
Other names
CHildrens Hospital of Wisconsin
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MIKHAILOV MD,PHD (DIRECTOR, PED. CRITICAL CARE NP)
(414) 266-2438
Entity
Organization
Contact information
Practice address
8915 W CONNELL AVE, MILWAUKEE, WI 53226-3067
(414) 266-2000
Mailing address
1695 N JONES BLVD APT 10, NORTH LIBERTY, IA 52317-8824
(507) 251-0673
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
123314
IA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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