Organization
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Active
Other names
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
6900 N PORT WASHINGTON RD, GLENDALE, WI 53217-3921
(414) 270-8100
Mailing address
PO BOX 773380, CHICAGO, IL 60677-3380
(414) 585-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32737300
—
WI
Enumeration date
08/03/2006
Last updated
12/31/2024
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