| Cedarburg Pediatrics | |
|
7861 State Road 60 Cedarburg WI 53012-9305 | |
| (262) 546-1050 | |
| (262) 546-1051 |
| Full Name | Cedarburg Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 7861 State Road 60, Cedarburg, Wisconsin |
| Authorized Official Name and Position | Smriti Khare (PRESIDENT-CHILDREN'SMEDICAL GROUP) |
| Authorized Official Contact | 4142667615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedarburg Pediatrics 9000 W Wisconsin Ave Mail Station 958 Milwaukee WI 53226-4874 Ph: (414) 266-7615 | Cedarburg Pediatrics 7861 State Road 60 Cedarburg WI 53012-9305 Ph: (262) 546-1050 |
| NPI Number | 1174999163 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174999163 | NPI | - | NPPES |
| 1174999163 | Medicaid | WI |
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