Froedtert Health

NPI #1952091555 in West Bend, Wisconsin

Provider Information

NPI Number
1952091555
Entity Type
Organization
Organization Name
Froedtert Health
Subpart
Yes (part of a larger organization)
Parent Organization
FROEDTERT HEALTH
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
May 9, 2023
Last Updated
May 9, 2023

Practice Location

Address
432 E WASHINGTON ST
ZIP Code
53095-2530
Phone
(414) 777-3462

Authorized Official

Name
BLAINE JOHN O'CONNELL
Title
VP FINANCE
Phone
(414) 805-4291

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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Provider Name
Froedtert & Medical College of Wi Community Physicians

Part of Froedtert & Medical College of Wi Community Physicians

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