Organization
CHILDREN'S SPECIALTY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC CADIEUX (CORPORATE VP & CFO)
(414) 266-6226
Entity
Organization
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
(414) 266-6338
Mailing address
P.O. BOX 1997, MS 900 - ROSALIE O'MEARA, MILWAUKEE, WI 53201-1997
(414) 266-6223
(414) 266-6338
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
208000000X
Pediatrics Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
09/16/2021
Last updated
11/17/2023
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