Organization
CHILDREN'S HOSPITAL OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM BIRKENSTOCK (CHEIF FINANCIAL OFFICER)
(414) 266-6220
Entity
Organization
Contact information
Practice address
9000 W WISCONSIN AVE, WAUWATOSA, WI 53226-4874
(414) 266-2000
Mailing address
PO BOX 1997, MILWAUKEE, WI 53201-1997
(414) 266-2808
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
3280033
WI
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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