Organization
CHILDREN'S HOSPITAL OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN GOBLER MA, CCC-A (AUDIOLOGIST)
(414) 266-2929
Entity
Organization
Contact information
Practice address
W147N10748 HERITAGE PKWY, GERMANTOWN, WI 53022-4389
(262) 502-7801
Mailing address
W147N10748 HERITAGE PKWY, GERMANTOWN, WI 53022-4389
(262) 502-7801
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
242-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41131100
—
WI
Enumeration date
08/16/2006
Last updated
08/22/2020
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