Children's Hospital of Wisconsin

NPI #1346727443 in Saukville, Wisconsin

Provider Information

NPI Number: 1346727443
Entity Type: Organization
Organization Name: Children's Hospital of Wisconsin
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDREN'S HOSPITAL OF WISCONSIN
Primary Specialty: Pediatrics
Enumeration Date: Jul 23, 2018
Last Updated: Jul 23, 2018

Practice Location

Address: 134 S FOSTER DR
City: Saukville
State: Wisconsin
ZIP Code: 53080-2005
Phone: (262) 358-9080

Authorized Official

Name: SHEILA REUTEMAN
Title: SR. CREDENTIALING COORDINATOR
Phone: (414) 266-7615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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