Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

NPI #1154947224 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1154947224
Entity Type: Organization
Organization Name: Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jun 24, 2020
Last Updated: Aug 26, 2025

Practice Location

Address: 1155 N MAYFAIR RD
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-3462
Phone: (414) 805-3666

Authorized Official

Name: AMIR ABBAS GHAFERI, MD
Title: PRESIDENT & CEO
Phone: (734) 660-4939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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