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Organization

CHILDREN'S MEDICAL GROUP

Active
Parent organization
CHILDREN'S MEDICAL GROUP
Other names
Greenfield Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN'S MEDICAL GROUP
Authorized official
DR. SMRITI KHARE MD (PRESIDENT, CHILDREN'S MEDICAL GROUP)
(414) 266-7615
Entity
Organization

Contact information

Practice address
3365 S 103RD ST STE 100, MILWAUKEE, WI 53227-4108
(414) 321-3951
(414) 321-8307
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-1853

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32859000
WI
Enumeration date
04/29/2008
Last updated
06/20/2022
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