Froedtert & the Medical College of Wisconsin Community Physicians

NPI #1992284087 in Greenfield, Wisconsin

Provider Information

NPI Number
1992284087
Entity Type
Organization
Organization Name
Froedtert & the Medical College of Wisconsin Community Physicians
Subpart
Yes (part of a larger organization)
Parent Organization
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Aug 9, 2018
Last Updated
Aug 9, 2018

Practice Location

Address
4859 SOUTH 60TH STREET
ZIP Code
53220
Phone
(414) 777-3463

Authorized Official

Name
RANDALL NEWMAN
Title
VP FINANCE
Phone
(414) 777-7963

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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