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 1215945456

Columbia St Mary's Hospital Milwaukee, Inc is a Family Medicine Physician in Glendale, Wisconsin. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

6900 N Port Washington Rd
Glendale, WI 53217-3921
Phone: (414) 270-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 — (414) 270-8150

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1215945456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Dwyer — Cfo · (414) 465-3093
Other names Ascension Columbia St Mary'S Hospital Milwaukee
NPI enumeratedAugust 3, 2006
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing addressPo Box 773380, Chicago, IL 60677-3380

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