Organization · Type 2 NPI

CSM Community Physician

Medical Specialty Clinic/Center · Milwaukee, WI

NPI number 1801100243 Active

Practice location

2350 N Lake Dr, Suite 206
Milwaukee, WI 53211-4528

Fax (414) 298-7281

Mailing address

PO Box 78309
Milwaukee, WI 53278-0001

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1801100243

CSM Community Physician's National Provider Identifier is 1801100243, issued on Jul 27, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 24, 2010.