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Organization

ASCENSION SE WISCONSIN HOSPITAL, INC

Active
Other names
Ascension SE Wisconsin Hospital - Brown Deer, Ascension SE Wisconsin Hospital - Mayfair Rd, Ascension SE Wisconsin Hospital - Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization

Contact information

Practice address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 256-1940
Mailing address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 256-1940

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
261QR0400X
Rehabilitation Clinic/Center
261QX0200X
Oncology Clinic/Center

Other

Enumeration date
02/11/2019
Last updated
01/07/2025
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