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Organization

CSM COMMUNITY PHYSICIAN

Active
Parent organization
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
Other names
CSMCP Cardiac Rhythm Specialist
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
Authorized official
MS. DEBORAH E BJORN (PRACTICE ADMINISTRATOR)
(414) 298-7284
Entity
Organization

Contact information

Practice address
2350 N LAKE DR, SUITE 206, MILWAUKEE, WI 53211-4528
(414) 298-7280
(414) 298-7281
Mailing address
PO BOX 78309, MILWAUKEE, WI 53278-0001
(414) 298-7280
(414) 298-7281

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32793800
WI
Enumeration date
07/27/2010
Last updated
11/24/2010
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