Froedtert & the Medical College of Wisconsin Community Physicians Inc.

NPI #1649626540 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1649626540
Entity Type: Organization
Organization Name: Froedtert & the Medical College of Wisconsin Community Physicians Inc.
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: May 10, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 7725 W NORTH AVE
City: Wauwatosa
State: Wisconsin
ZIP Code: 53213-1720
Phone: (414) 777-3406

Authorized Official

Name: BARBRA FAGAN
Title: DIRECTOR BUSINESS DEVELOPMENT
Phone: (262) 253-5105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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