Ch Specialty Services Wi Sc

NPI #1063115319 in Hartford, Wisconsin

Provider Information

NPI Number: 1063115319
Entity Type: Organization
Organization Name: Ch Specialty Services Wi Sc
Primary Specialty: Internal Medicine
Enumeration Date: Mar 24, 2023
Last Updated: Mar 21, 2025

Practice Location

Address: 1366 E SUMNER ST # 1002
City: Hartford
State: Wisconsin
ZIP Code: 53027-1614
Phone: (337) 408-0797

Authorized Official

Name: NICOLE HOWARD
Title: SR VP OF ADMINISTRATIVE SERVICES
Phone: (337) 408-0797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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