| Children's Medical Group | |
|
1655 W. Mequon Road Mequon WI 53092-3230 | |
| (262) 240-9744 | |
| (262) 240-9745 |
| Full Name | Children's Medical Group |
|---|---|
| Speciality | Pediatrics |
| Location | 1655 W. Mequon Road, Mequon, 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 |
|---|---|
| Children's Medical Group 9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-4874 Ph: (414) 266-7615 | Children's Medical Group 1655 W. Mequon Road Mequon WI 53092-3230 Ph: (262) 240-9744 |
| NPI Number | 1801061064 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801061064 | NPI | - | NPPES |
| 1801061064 | Medicaid | WI |
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