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
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
PO BOX 860496, MINNEAPOLIS, MN 55486-0496
(414) 585-1000
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21258000
—
WI
05
—
21280300
—
WI
Enumeration date
06/14/2006
Last updated
12/31/2024
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