Organization
CSM COMMUNITY PHYSICIAN
Active
Parent organization
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
Other names
Ascension Columbia St Mary's Hospital Milwaukee
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization
Contact information
Practice address
13133 N PORT WASHINGTON RD, SUITE 122, MEQUON, WI 53097-2419
(414) 298-7280
(414) 298-7281
Mailing address
PO BOX 78309, MILWAUKEE, WI 53278-0001
(414) 298-7280
(414) 298-7281
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
01/07/2025
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