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
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2929
(414) 266-6189
Mailing address
9000 W WISCONSIN AVE, PO BOX 1997, MS 785, MILWAUKEE, WI 53226-4874
(414) 266-2929
(414) 266-6189
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
242-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41131100
—
WI
Enumeration date
11/05/2008
Last updated
11/05/2008
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