Organization · Type 2 NPI

Columbia St. Mary's Hospital Milwaukee, Inc

General Practice Physician · Glendale, WI

NPI number 1194330712 Active

Practice location

375 W River Woods Pkwy
Glendale, WI 53212-1080

Call (414) 326-1500 Map

Other practice locations

3056 S Kinnickinnic Ave, Milwaukee, WI 53207-2583 · (414) 326-2660

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
General Practice Physician Primary	208D00000X	None listed
Rehabilitation Clinic/Center	261QR0400X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

5 other providers at this address

NPI record

NPI: 1194330712
Entity type: Organization (Type 2)
Issued: Sep 10, 2020
Last updated: Jul 9, 2026
Status: Active

Other names

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Ascension Columbia ST Mary's Milwaukee - River Woods · other name
Ascension Columbia ST Mary's Milwaukee - River Woods · other name

Authorized official

Susan Dwyer
CFO
(414) 465-3093

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194330712

Columbia St. Mary's Hospital Milwaukee, Inc's National Provider Identifier is 1194330712, issued on Sep 10, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Glendale, WI. The record was last updated on Jul 9, 2026.