Children's Hospital of Wisconsin

NPI #1700125481 in Appleton, Wisconsin

Provider Information

NPI Number: 1700125481
Entity Type: Organization
Organization Name: Children's Hospital of Wisconsin
Primary Specialty: Pediatrics
Enumeration Date: Jan 31, 2013
Last Updated: Feb 24, 2023

Practice Location

Address: 2575 E EVERGREEN DR
City: Appleton
State: Wisconsin
ZIP Code: 54913-8910
Phone: (920) 969-7930

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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