| Pewaukee Pediatrics | |
|
1215 George Towne Dr Pewaukee WI 53072-2731 | |
| (262) 691-3849 | |
| (262) 691-4287 |
| Full Name | Pewaukee Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 1215 George Towne Dr, Pewaukee, 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 |
|---|---|
| Pewaukee Pediatrics 9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-4874 Ph: (414) 266-7615 | Pewaukee Pediatrics 1215 George Towne Dr Pewaukee WI 53072-2731 Ph: (262) 691-3849 |
| NPI Number | 1457662074 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457662074 | NPI | - | NPPES |
| 1457662074 | Medicaid | WI |
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