Csm Community Physician

NPI #1518271956 in Mequon, Wisconsin

Provider Information

NPI Number
1518271956
Entity Type
Organization
Organization Name
Csm Community Physician
Subpart
Yes (part of a larger organization)
Parent Organization
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jul 27, 2010
Last Updated
Jan 7, 2025

Practice Location

Address
13133 N PORT WASHINGTON RD
Address 2
SUITE 122
City
Mequon
ZIP Code
53097-2419
Phone
(414) 298-7280

Authorized Official

Name
MICHAEL MCCULLOUGH
Title
CFO
Phone
(414) 465-3736

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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