Children's Medical Group

NPI #1417299488 in Milwaukee, Wisconsin

Provider Information

NPI Number
1417299488
Entity Type
Organization
Organization Name
Children's Medical Group
Subpart
Yes (part of a larger organization)
Parent Organization
CHILDREN'S MEDICAL GROUP
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Mar 18, 2013
Last Updated
Oct 4, 2013

Practice Location

Address
2320 W BURLEIGH ST
ZIP Code
53206-1751
Phone
(414) 431-9563

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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