| NPI | 1457662074 |
|---|---|
| Doing Business As | PEWAUKEE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SMRITI KHARE President, Children's Medical Group 414-266-7615 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 208000000X Pediatrics (Licence: WI 5826-800) | |
| 101YM0800X Counselor, Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2021-09-27 |