Froedtert &the Medical College of Wisconsin Community Physicians INC

NPI #1649700980 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1649700980
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 19, 2017
Last Updated: Jul 19, 2024

Practice Location

Address: 7901 SOUTH 6TH STREET
City: Oak Creek
State: Wisconsin
ZIP Code: 53154
Phone: (414) 346-8000

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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