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Organization

CHILDRENS HOSPITAL OF WISCONSIN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA RICCA (VP REVENUE CYCLE)
(414) 266-2511
Entity
Organization

Contact information

Practice address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
207K00000X
Allergy & Immunology Physician
207NP0225X
Pediatric Dermatology Physician
208000000X
Pediatrics Physician
Primary
2084N0400X
Neurology Physician
208M00000X
Hospitalist Physician
225100000X
Physical Therapist
2251P0200X
Pediatric Physical Therapist
251B00000X
Case Management Agency
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
WI
261QM2500X
Medical Specialty Clinic/Center
WI
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
12/01/2006
Last updated
11/05/2020
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