Children's Medical Group

NPI #1891960027 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1891960027
Entity Type: Organization
Organization Name: Children's Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDREN'S MEDICAL GROUP
Primary Specialty: Pediatrics
Enumeration Date: Apr 29, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 2025 W OKLAHOMA AVE
Address 2: SUITE 105
City: Milwaukee
State: Wisconsin
ZIP Code: 53215-4455
Phone: (414) 385-9638

Authorized Official

Name: DR. THOMAS DUNIGAN, MD
Title: PRESIDENT, CHILDREN'S MEDICAL GROUP
Phone: (414) 266-7615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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