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 1710928221

Columbia St Mary's Hospital Milwaukee, Inc is a Family Medicine Physician in Mequon, Wisconsin. 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

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone: (414) 270-4932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1710928221
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Dwyer — Cfo · (414) 465-3093
Other names Ascension Columbia St Mary'S Hospital Milwaukee
NPI enumeratedJune 8, 2006
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing addressPo Box 773380, Chicago, IL 60677-3380

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