Children's Medical Group

NPI #1174999262 in Mount Pleasant, Wisconsin

Provider Information

NPI Number
1174999262
Entity Type
Organization
Organization Name
Children's Medical Group
Subpart
Yes (part of a larger organization)
Parent Organization
CHILDREN'S MEDICAL GROUP
Primary Specialty
Pediatrics
Enumeration Date
Aug 12, 2015
Last Updated
Sep 14, 2015

Practice Location

Address
8800 WASHINGTON AVE
Address 2
SUITE 300
ZIP Code
53406-3701
Phone
(262) 664-7423

Authorized Official

Name
DR. SMRITI KHARE, M.D.
Title
PRESIDENT - CHILDREN'S MEDICAL GROU
Phone
(414) 266-7615

Specialties & Taxonomy Codes

Specialty
Pediatrics

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