Children's Medical Group, Inc.

NPI #1710389473 in Delafield, Wisconsin

Provider Information

NPI Number: 1710389473
Entity Type: Organization
Organization Name: Children's Medical Group, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDREN'S MEDICAL GROUP
Primary Specialty: Pediatrics
Enumeration Date: Sep 24, 2014
Last Updated: Nov 23, 2015

Practice Location

Address: 3195 HILLSIDE DRIVE
City: Delafield
State: Wisconsin
ZIP Code: 53018-2189
Phone: (262) 646-9960

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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