Provider First Line Business Practice Location Address:
CHILDREN'S SPECIALTY GROUP, 9000 W. WISCONSIN AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAUWATOSA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53226-4874
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-403-5904
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/17/2025