| Bluemound Pediatrics | |
|
12635 W. Bluemound Road Brookfield WI 53005-8004 | |
| (414) 258-0606 | |
| (414) 258-1953 |
| Full Name | Bluemound Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 12635 W. Bluemound Road, Brookfield, Wisconsin |
| Authorized Official Name and Position | Smriti Khare (PRESIDENT, CHILDREN'S MEDICAL GROUP) |
| Authorized Official Contact | 4142667615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluemound Pediatrics 9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-4874 Ph: (414) 266-7615 | Bluemound Pediatrics 12635 W. Bluemound Road Brookfield WI 53005-8004 Ph: (414) 258-0606 |
| NPI Number | 1285809418 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285809418 | NPI | - | NPPES |
| 32846000 | Medicaid | WI |
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