Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Columbia St Mary's Hospital Milwaukee, Inc

Organization Family Medicine Physician · NPI 1194330712

Columbia St Mary's Hospital Milwaukee, Inc is a Family Medicine Physician in Glendale, Wisconsin. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

375 W River Woods Pkwy
Glendale, WI 53212-1080
Phone: (414) 326-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Family Medicine Physician Taxonomy 207Q00000X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1194330712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Dwyer — Cfo · (414) 465-3093
Other names Ascension Columbia St Mary'S Milwaukee - River Woods; Ascension Columbia St Mary'S Milwaukee - River Woods
NPI enumeratedSeptember 10, 2020
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address375 W River Woods Pkwy, Glendale, WI 53212-1080

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