Organization
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Active
Other names
Ascension Columbia St Mary's Hospital Milwaukee
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(414) 270-4932
Mailing address
4425 N PORT WASHINGTON RD, GLENDALE, WI 53212-1082
(414) 326-2100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008370
—
WI
Enumeration date
06/08/2006
Last updated
03/24/2025
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