Organization
CHILDREN'S HOSPITAL OF WISCONSIN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WELDON W GAGE (CFO/TREASURER)
(414) 266-6401
Entity
Organization
Contact information
Practice address
999 N 92ND ST, MILWAUKEE, WI 53226-4875
(414) 266-3303
(414) 266-1539
Mailing address
PO BOX 1997, MILWAUKEE, WI 53201-1997
(414) 266-2000
(414) 266-6409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9244-42
WI
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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