Organization
CHILDRENS PHYSICIAN GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DUNIGAN M.D. (PRESIDENT)
(414) 266-6404
Entity
Organization
Contact information
Practice address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-3518
(414) 266-7615
(414) 266-1853
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-3518
(414) 266-7615
(414) 266-1853
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
12/06/2010
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