Children's Hospital of Wisconsin

NPI #1386983930 in Green Bay, Wisconsin

Provider Information

NPI Number: 1386983930
Entity Type: Organization
Organization Name: Children's Hospital of Wisconsin
Primary Specialty: Pediatrics
Enumeration Date: Feb 1, 2013
Last Updated: Sep 27, 2013

Practice Location

Address: 503 S MONROE AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54301-4017
Phone: (920) 436-8881

Authorized Official

Name: WELDON GAGE
Title: TREASURER/CHIEF FINANCIAL OFFICER
Phone: (414) 266-6401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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