Organization
CHILDREN'S MEDICAL GROUP
Active
Other names
Midtown Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
SMRITI KHARE M.D. (PRESIDENT - CHILDREN'S MEDICAL GRP)
(414) 266-6404
Entity
Organization
Contact information
Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 277-8900
(414) 277-8982
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
208000000X
Pediatrics Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932454089
—
WV
Enumeration date
07/16/2012
Last updated
09/24/2021
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